Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › CREIGHTON › FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.

FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.

NPI: 1073789756 · CREIGHTON, NE 68729 · General Practice Dentistry · NPI assigned 05/02/2008

$4K
Total Medicaid Paid
181
Total Claims
181
Beneficiaries
3
Codes Billed
2018-02
First Month
2022-12
Last Month

Provider Details

Authorized OfficialSTOLTENBERG, ANN (FAMILY 1ST DENTAL SUPPORT MANAGER)
NPI Enumeration Date05/02/2008

Related Entities

Other providers sharing the same authorized official: STOLTENBERG, ANN

ProviderCityStateTotal Paid
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA P.C. LAUREL NE $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77 $1K
2019 52 $1K
2020 13 $284.72
2022 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 119 119 $3K
D0120 Periodic oral evaluation - established patient 50 50 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $60.00