Medicaid Provider Spending

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

PERRY, GLORIA

NPI: 1912019126 · CROMWELL, CT 06416 · General Practice Dentistry · NPI assigned 09/01/2006

$10K
Total Medicaid Paid
491
Total Claims
438
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156 $3K
2019 335 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 107 106 $3K
D0274 Bitewings - four radiographic images 58 53 $2K
D0220 Intraoral - periapical first radiographic image 146 135 $2K
D0230 Intraoral - periapical each additional radiographic image 129 93 $1K
D1120 Prophylaxis - child 25 25 $1K
D1110 Prophylaxis - adult 13 13 $432.64
D1208 Topical application of fluoride, excluding varnish 13 13 $369.46