Medicaid Provider Spending

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

MRB ENTERPRISES PC

NPI: 1013141373 · BLUE GRASS, IA 52726 · Dentist · NPI assigned 05/14/2009

$3K
Total Medicaid Paid
111
Total Claims
111
Beneficiaries
3
Codes Billed
2021-03
First Month
2023-03
Last Month

Provider Details

Authorized OfficialBAYNE, PHILIP (OWNER/PRESIDENT)
NPI Enumeration Date05/14/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 37 $1K
2022 62 $1K
2023 12 $242.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 37 37 $1K
D0120 Periodic oral evaluation - established patient 62 62 $1K
D1206 Topical application of fluoride varnish 12 12 $173.28