Medicaid Provider Spending

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

STEPHEN V SUTTON DMD, PA

NPI: 1902170368 · DOWNEY, ID 83234 · General Practice Dentistry · NPI assigned 03/02/2012

$34K
Total Medicaid Paid
1,938
Total Claims
1,938
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSUTTON, STEPHEN (PRESIDENT)
NPI Enumeration Date03/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74 $0.00
2019 168 $1K
2020 308 $6K
2021 383 $9K
2022 516 $11K
2023 378 $6K
2024 111 $825.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 421 421 $28K
D1120 Prophylaxis - child 102 102 $6K
D0120 Periodic oral evaluation - established patient 1,176 1,176 $170.47
D1206 Topical application of fluoride varnish 138 138 $13.55
D0220 Intraoral - periapical first radiographic image 63 63 $0.00
D1208 Topical application of fluoride, excluding varnish 26 26 $0.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $0.00