Medicaid Provider Spending

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

NPI: 1073057667 · LEHI, UT 84043 · Pediatric Dentist · NPI assigned 12/15/2016

$145.87
Total Medicaid Paid
67
Total Claims
67
Beneficiaries
3
Codes Billed
2018-04
First Month
2018-08
Last Month

Provider Details

Authorized OfficialHARDY, TROY (OWNER)
NPI Enumeration Date12/15/2016

Related Entities

Other providers sharing the same authorized official: HARDY, TROY

ProviderCityStateTotal Paid
COPPER COVE PEDIATRIC DENTISTRY SOUTH JORDAN UT $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $145.87

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0272 Bitewings - two radiographic images 26 26 $145.87
D1120 Prophylaxis - child 14 14 $0.00
D1206 Topical application of fluoride varnish 27 27 $0.00