Medicaid Provider Spending

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

JOHNSON, JUDY

NPI: 1912128398 · WEST HARRISON, NY 10604 · General Practice Dentistry · NPI assigned 05/01/2007

$18K
Total Medicaid Paid
530
Total Claims
494
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 530 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 93 93 $5K
D0150 Comprehensive oral evaluation - new or established patient 119 119 $3K
D0120 Periodic oral evaluation - established patient 100 100 $3K
D1351 Sealant - per tooth 51 15 $2K
D1120 Prophylaxis - child 48 48 $2K
D0140 Limited oral evaluation - problem focused 53 53 $774.20
D1208 Topical application of fluoride, excluding varnish 52 52 $722.70
D1206 Topical application of fluoride varnish 14 14 $299.70