Medicaid Provider Spending

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

JON K. ORMSON, DDS, PLLC

NPI: 1942637574 · AMARILLO, TX 79106 · General Practice Dentistry · NPI assigned 09/27/2013

$85K
Total Medicaid Paid
4,964
Total Claims
4,525
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-04
Last Month

Provider Details

Authorized OfficialORMSON, JON (DOCTOR)
NPI Enumeration Date09/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 248 $5K
2021 2,459 $40K
2022 2,148 $38K
2024 109 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 667 610 $17K
D1110 Prophylaxis - adult 281 262 $14K
D1120 Prophylaxis - child 427 387 $13K
D1208 Topical application of fluoride, excluding varnish 825 760 $11K
D0220 Intraoral - periapical first radiographic image 683 613 $8K
D0230 Intraoral - periapical each additional radiographic image 656 590 $7K
D0274 Bitewings - four radiographic images 189 171 $6K
D0272 Bitewings - two radiographic images 258 229 $5K
D0330 Panoramic radiographic image 73 73 $4K
D0602 905 830 $0.00