Medicaid Provider Spending

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

CHING, RESTITUTO

NPI: 1942369814 · SAC CITY, IA 50583 · General Practice Dentistry · NPI assigned 12/07/2006

$4K
Total Medicaid Paid
1,140
Total Claims
429
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,140 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 239 25 $1K
D1120 Prophylaxis - child 182 94 $909.09
D1206 Topical application of fluoride varnish 284 148 $773.82
D0120 Periodic oral evaluation - established patient 237 116 $572.95
D1110 Prophylaxis - adult 80 33 $0.00
D1353 118 13 $0.00