Medicaid Provider Spending

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

NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION

NPI: 1003919135 · MONONA, IA 52159 · General Practice Dentistry · NPI assigned 09/06/2006

$17K
Total Medicaid Paid
705
Total Claims
690
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKURTH, JUDY (OFFICE MANAGER)
Parent OrganizationNORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
NPI Enumeration Date09/06/2006

Related Entities

Other providers sharing the same authorized official: KURTH, JUDY

ProviderCityStateTotal Paid
DENTAL ASSOCIATES OF DECORAH PC DECORAH IA $45K
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION WAUKON IA $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $1K
2019 119 $3K
2020 181 $5K
2021 116 $3K
2022 110 $3K
2023 42 $988.95
2024 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 327 320 $9K
D1206 Topical application of fluoride varnish 352 344 $7K
D1120 Prophylaxis - child 26 26 $1K