Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2018 61 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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