Medicaid Provider Spending

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

CORNERSTONE FAMILY DENTAL PLLC

NPI: 1013374461 · REXBURG, ID 83440 · Dentist · NPI assigned 01/15/2016

$4K
Total Medicaid Paid
271
Total Claims
271
Beneficiaries
3
Codes Billed
2018-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialSNARR, THOMAS (OWNER)
NPI Enumeration Date01/15/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 92 $2K
2019 65 $0.00
2020 44 $786.46
2021 70 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 65 65 $4K
D0120 Periodic oral evaluation - established patient 194 194 $32.82
D1206 Topical application of fluoride varnish 12 12 $0.00