Medicaid Provider Spending

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

DEMEWOZ, ASSEFA

NPI: 1932458007 · LORTON, VA 22079 · General Practice Dentistry · NPI assigned 09/05/2012

$17K
Total Medicaid Paid
630
Total Claims
611
Beneficiaries
6
Codes Billed
2018-06
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116 $4K
2019 228 $7K
2020 28 $564.20
2022 68 $2K
2023 153 $4K
2024 37 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 69 63 $4K
D1120 Prophylaxis - child 117 111 $4K
D0120 Periodic oral evaluation - established patient 210 203 $3K
D1208 Topical application of fluoride, excluding varnish 129 129 $3K
D0150 Comprehensive oral evaluation - new or established patient 69 69 $2K
D1110 Prophylaxis - adult 36 36 $2K