Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › HASTINGS › LANDGREN, DAVID

LANDGREN, DAVID

NPI: 1003954868 · HASTINGS, NE 68901 · Dentist · NPI assigned 02/02/2007

$18K
Total Medicaid Paid
804
Total Claims
794
Beneficiaries
5
Codes Billed
2018-02
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $1K
2019 82 $2K
2020 109 $2K
2021 166 $3K
2022 182 $4K
2023 181 $4K
2024 16 $446.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 412 410 $9K
D1110 Prophylaxis - adult 134 134 $5K
D1208 Topical application of fluoride, excluding varnish 103 103 $2K
D1999 131 123 $1K
D0274 Bitewings - four radiographic images 24 24 $382.48