Medicaid Provider Spending

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

HAZELTON FAMILY DENTISTRY, PA

NPI: 1083874143 · BEMIDJI, MN 56601 · Dental Clinic/Center · NPI assigned 06/12/2008

$71K
Total Medicaid Paid
2,063
Total Claims
2,041
Beneficiaries
4
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAZELTON, ZACHARY (DENTIST)
NPI Enumeration Date06/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $313.31
2019 245 $5K
2020 318 $6K
2021 422 $9K
2022 442 $23K
2023 370 $17K
2024 220 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,298 1,287 $42K
D1110 Prophylaxis - adult 299 293 $16K
D1206 Topical application of fluoride varnish 293 288 $7K
D1120 Prophylaxis - child 173 173 $6K