Medicaid Provider Spending

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

WILSON AND PFAU FAMILY DENTISTRY LLC

NPI: 1013534684 · JASPER, IN 47546 · General Practice Dentistry · NPI assigned 06/30/2020

$94K
Total Medicaid Paid
2,928
Total Claims
2,747
Beneficiaries
6
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIES-PFAU, ALICIA (OWNER/OFFICE MANAGER)
NPI Enumeration Date06/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 236 $5K
2021 954 $30K
2022 717 $23K
2023 639 $21K
2024 382 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 848 805 $42K
D0120 Periodic oral evaluation - established patient 1,228 1,152 $29K
D0274 Bitewings - four radiographic images 386 367 $14K
D1206 Topical application of fluoride varnish 411 374 $7K
D1120 Prophylaxis - child 43 37 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $147.38