Medicaid Provider Spending

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

ERICA B. PATTHOFF, DDS, PLLC

NPI: 1992284335 · MARTINSBURG, WV 25401 · Dental Clinic/Center · NPI assigned 08/07/2018

$11K
Total Medicaid Paid
555
Total Claims
440
Beneficiaries
8
Codes Billed
2018-08
First Month
2020-09
Last Month

Provider Details

Authorized OfficialCOFFEY, MICHELLE (OFFICE MANAGER)
NPI Enumeration Date08/07/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 215 $4K
2019 301 $6K
2020 39 $880.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 146 108 $4K
D1206 Topical application of fluoride varnish 113 109 $2K
D0220 Intraoral - periapical first radiographic image 113 93 $1K
D0120 Periodic oral evaluation - established patient 40 39 $967.08
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 45 40 $865.00
D7140 Extraction, erupted tooth or exposed root 53 25 $800.00
D0330 Panoramic radiographic image 16 14 $536.00
D0230 Intraoral - periapical each additional radiographic image 29 12 $150.00