Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WILLIAMS, JASON

NPI: 1881142149 · PEARLAND, TX 77584 · General Practice Dentistry · NPI assigned 09/15/2016

Deactivated NPI · This NPI was deactivated on 02/20/2019. Reactivated 02/25/2019.
$73K
Total Medicaid Paid
3,836
Total Claims
3,179
Beneficiaries
12
Codes Billed
2020-11
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 387 $8K
2021 3,355 $64K
2022 94 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 437 437 $12K
D1120 Prophylaxis - child 314 314 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 102 47 $10K
D0230 Intraoral - periapical each additional radiographic image 844 454 $9K
D1351 Sealant - per tooth 308 99 $8K
D1206 Topical application of fluoride varnish 479 478 $7K
D0220 Intraoral - periapical first radiographic image 470 469 $6K
D0274 Bitewings - four radiographic images 109 109 $4K
D1110 Prophylaxis - adult 62 62 $3K
D0272 Bitewings - two radiographic images 87 87 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 46 46 $1K
D0603 578 577 $0.00