Medicaid Provider Spending

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

NORTHWOODS FAMILY DENTAL SC

NPI: 1053497289 · RHINELANDER, WI 54501 · General Practice Dentistry · NPI assigned 10/31/2006

$1K
Total Medicaid Paid
67
Total Claims
62
Beneficiaries
3
Codes Billed
2018-09
First Month
2019-04
Last Month

Provider Details

Authorized OfficialPADGETT, MARY (DDS)
NPI Enumeration Date10/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $772.35
2019 25 $429.89

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 40 38 $931.38
D1206 Topical application of fluoride varnish 14 12 $143.68
D0120 Periodic oral evaluation - established patient 13 12 $127.18