Medicaid Provider Spending

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

ALPENGLOW FAMILY DENTISTRY PLLC

NPI: 1053877068 · BOZEMAN, MT 59718 · General Practice Dentistry · NPI assigned 02/14/2019

$6K
Total Medicaid Paid
189
Total Claims
182
Beneficiaries
4
Codes Billed
2019-04
First Month
2023-08
Last Month

Provider Details

Authorized OfficialMELZER, TYLER (OWNER/PRESIDENT)
NPI Enumeration Date02/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $264.42
2020 24 $622.77
2021 12 $234.62
2022 68 $3K
2023 58 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 111 107 $2K
D1110 Prophylaxis - adult 26 25 $2K
D0120 Periodic oral evaluation - established patient 38 38 $1K
D1120 Prophylaxis - child 14 12 $536.07