Medicaid Provider Spending

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

MOYER, GLEN

NPI: 1952346694 · SOUTH HERO, VT 05486 · General Practice Dentistry · NPI assigned 06/17/2006

$36K
Total Medicaid Paid
1,295
Total Claims
1,268
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 957 $27K
2019 338 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 239 236 $11K
D0120 Periodic oral evaluation - established patient 357 354 $8K
D0140 Limited oral evaluation - problem focused 152 149 $6K
D1208 Topical application of fluoride, excluding varnish 246 245 $4K
D0220 Intraoral - periapical first radiographic image 159 144 $3K
D0274 Bitewings - four radiographic images 74 73 $2K
D1120 Prophylaxis - child 55 55 $2K
D0230 Intraoral - periapical each additional radiographic image 13 12 $91.00