Medicaid Provider Spending

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

NPI: 1033512660 · GRAFTON, ND 58237 · Dental Clinic/Center · NPI assigned 09/26/2014

$5K
Total Medicaid Paid
163
Total Claims
163
Beneficiaries
4
Codes Billed
2018-03
First Month
2018-10
Last Month

Provider Details

Authorized OfficialBRANT, DAVID (OWNER)
NPI Enumeration Date09/26/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 66 66 $3K
D1206 Topical application of fluoride varnish 66 66 $1K
D0274 Bitewings - four radiographic images 14 14 $507.55
D0120 Periodic oral evaluation - established patient 17 17 $477.70