Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ELEVATION DENTAL DEER LODGE PLLC

NPI: 1063074524 · DEER LODGE, MT 59722 · Dental Clinic/Center · NPI assigned 07/05/2019

$7K
Total Medicaid Paid
260
Total Claims
253
Beneficiaries
3
Codes Billed
2019-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialNIELSEN, PAUL (PRESIDENT)
NPI Enumeration Date07/05/2019

Related Entities

Other providers sharing the same authorized official: NIELSEN, PAUL

ProviderCityStateTotal Paid
NIELSEN DENTAL P.C. HELENA MT $1.06M
ELEVATION DENTAL BUTTE PLLC BUTTE MT $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 47 $1K
2020 69 $2K
2021 38 $971.49
2022 72 $2K
2023 34 $904.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 216 209 $6K
D1206 Topical application of fluoride varnish 30 30 $732.25
D1120 Prophylaxis - child 14 14 $477.26