Medicaid Provider Spending

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

KEITH FETTEROLF, DMD, P.A.

NPI: 1023745130 · GARNER, NC 27529 · General Practice Dentistry · NPI assigned 08/08/2022

$52K
Total Medicaid Paid
723
Total Claims
354
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFETTEROLF, KEITH (OWNER)
NPI Enumeration Date08/08/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 723 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 393 36 $22K
D5140 16 16 $10K
D5130 12 12 $7K
D0140 Limited oral evaluation - problem focused 191 181 $6K
D0330 Panoramic radiographic image 111 109 $6K