Medicaid Provider Spending

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

PHILLIP D PRATER DDD PLLC

NPI: 1891186441 · BLACKSTONE, VA 23824 · Dentist · NPI assigned 02/17/2015

$89K
Total Medicaid Paid
3,495
Total Claims
3,473
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialPRATER, PHILLIP (OWNER)
NPI Enumeration Date02/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,001 $26K
2019 1,180 $32K
2020 648 $15K
2021 666 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,266 1,258 $26K
D1120 Prophylaxis - child 692 688 $23K
D0120 Periodic oral evaluation - established patient 1,039 1,032 $21K
D1110 Prophylaxis - adult 291 288 $14K
D0150 Comprehensive oral evaluation - new or established patient 83 83 $3K
D0274 Bitewings - four radiographic images 82 82 $2K
D0330 Panoramic radiographic image 14 14 $755.86
D0272 Bitewings - two radiographic images 28 28 $564.20