Medicaid Provider Spending

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

DR DAVID G DICKERHOFF DDS & ASSOCIATES PA

NPI: 1003992223 · SPRING LAKE, NC 28390 · Dental Clinic/Center · NPI assigned 10/31/2006

$42K
Total Medicaid Paid
2,421
Total Claims
2,319
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCARR FINCH, ANGELA (OFFICE MANAGER)
NPI Enumeration Date10/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 579 $12K
2019 580 $12K
2020 772 $10K
2021 490 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 926 909 $15K
D0120 Periodic oral evaluation - established patient 554 546 $14K
D1120 Prophylaxis - child 353 342 $9K
D1110 Prophylaxis - adult 42 42 $2K
D0330 Panoramic radiographic image 25 24 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $496.92
D1999 509 444 $0.00