Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WISDOM, ERIC
NPI: 1902822596 · MANHATTAN, KS 66502 ·
General Practice Dentistry
· NPI assigned 07/15/2006
$1K
Total Medicaid Paid
61
Total Claims
55
Beneficiaries
3
Codes Billed
2018-04
First Month
2018-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
61
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
30
27
$526.50
D0272
Bitewings - two radiographic images
12
12
$240.00
D1206
Topical application of fluoride varnish
19
16
$239.00