Medicaid Provider Spending

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

DIQUATTRO, RYAN

NPI: 1912134024 · PAYSON, AZ 85541 · General Practice Dentistry · NPI assigned 06/16/2009

$13K
Total Medicaid Paid
448
Total Claims
439
Beneficiaries
6
Codes Billed
2018-09
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216 $7K
2019 232 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 97 95 $4K
D0120 Periodic oral evaluation - established patient 119 116 $3K
D1206 Topical application of fluoride varnish 131 129 $3K
D0274 Bitewings - four radiographic images 69 68 $2K
D1110 Prophylaxis - adult 14 14 $560.50
D0272 Bitewings - two radiographic images 18 17 $416.80