Medicaid Provider Spending

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

JASON J PEACOCK DDS, MS, PLLC

NPI: 1912312190 · CONCORD, NH 03301 · Dentist · NPI assigned 06/25/2014

$4K
Total Medicaid Paid
178
Total Claims
178
Beneficiaries
2
Codes Billed
2018-04
First Month
2020-10
Last Month

Provider Details

Authorized OfficialPEACOCK, JASON (DENTIST/OWNER)
NPI Enumeration Date06/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $2K
2019 61 $1K
2020 12 $377.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 92 92 $3K
D1206 Topical application of fluoride varnish 86 86 $2K