Medicaid Provider Spending

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

WEATHERFORD, MARY

NPI: 1881852499 · WYNNE, AR 72396 · Dentist · NPI assigned 05/30/2008

$16K
Total Medicaid Paid
624
Total Claims
611
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 383 $10K
2019 113 $3K
2020 128 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 105 104 $5K
D1208 Topical application of fluoride, excluding varnish 239 234 $5K
D0120 Periodic oral evaluation - established patient 153 148 $4K
D0272 Bitewings - two radiographic images 103 101 $2K
D1120 Prophylaxis - child 12 12 $423.20
D0274 Bitewings - four radiographic images 12 12 $177.60