Medicaid Provider Spending

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

TILTS, DAWN

NPI: 1952567661 · FLAGSTAFF, AZ 86001 · Dentist · NPI assigned 08/01/2008

$3K
Total Medicaid Paid
106
Total Claims
104
Beneficiaries
4
Codes Billed
2020-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 106 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 25 24 $1K
D0120 Periodic oral evaluation - established patient 29 29 $754.58
D1208 Topical application of fluoride, excluding varnish 39 38 $677.47
D0220 Intraoral - periapical first radiographic image 13 13 $169.26