Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › SIOUX CITY › WAGNER, KUNTZ & GRABOUSKI

WAGNER, KUNTZ & GRABOUSKI

NPI: 1043402894 · SIOUX CITY, IA 51104 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/15/2007

$597K
Total Medicaid Paid
809
Total Claims
788
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialWAGNER, RICHARD (ORTHODONTIST)
NPI Enumeration Date08/15/2007

Related Entities

Other providers sharing the same authorized official: WAGNER, RICHARD

ProviderCityStateTotal Paid
NORMAN REGIONAL HOSPITAL AUTHORITY NORMAN OK $37.82M
NORMAN REGIONAL HOSPITAL EMSSTAT NORMAN OK $7.23M
NORMAN REGIONAL HOSPITAL AUTHORITY NORMAN OK $5.50M
NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK $1.89M
NORMAN REGIONAL PROVIDERS PRIMARY CARE NORMAN OK $777K
NRHS RADIOLOGY ASSOCIATES NORMAN OK $630K
NORMAN REGIONAL HOSPITAL AUTHORITY NORMAN OK $517K
VENTURA URGENT CARE CENTER MEDICAL CORP VENTURA CA $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 383 $49K
2019 267 $148K
2020 70 $129K
2021 17 $46K
2022 13 $43K
2023 44 $136K
2024 15 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 188 175 $583K
D0150 Comprehensive oral evaluation - new or established patient 472 464 $8K
D0330 Panoramic radiographic image 83 83 $3K
D0340 39 39 $2K
D0470 27 27 $1K