Medicaid Provider Spending

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

SIMMONS, KELVIN

NPI: 1922432566 · NEW BRAUNFELS, TX 78130 · General Practice Dentistry · NPI assigned 08/30/2013

$9K
Total Medicaid Paid
531
Total Claims
475
Beneficiaries
8
Codes Billed
2023-06
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 531 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 80 79 $2K
D0274 Bitewings - four radiographic images 44 43 $1K
D1351 Sealant - per tooth 50 13 $1K
D1206 Topical application of fluoride varnish 79 78 $1K
D0230 Intraoral - periapical each additional radiographic image 87 73 $966.84
D1110 Prophylaxis - adult 17 17 $932.96
D0220 Intraoral - periapical first radiographic image 76 75 $916.88
D0603 98 97 $0.00