Medicaid Provider Spending

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

ZAJAC, JAMES

NPI: 1912055179 · DOWNERS GROVE, IL 60515 · General Practice Dentistry · NPI assigned 01/06/2007

Deactivated NPI · This NPI was deactivated on 03/05/2021. Reactivated 03/16/2021.
$58K
Total Medicaid Paid
3,235
Total Claims
2,918
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 665 $9K
2019 864 $12K
2020 1,004 $23K
2021 702 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 590 533 $15K
D9110 282 248 $14K
D1120 Prophylaxis - child 318 291 $12K
D1206 Topical application of fluoride varnish 326 294 $8K
D0220 Intraoral - periapical first radiographic image 958 864 $5K
D0230 Intraoral - periapical each additional radiographic image 508 467 $2K
D0272 Bitewings - two radiographic images 199 169 $2K
D0274 Bitewings - four radiographic images 41 39 $473.20
D0140 Limited oral evaluation - problem focused 13 13 $162.00