Medicaid Provider Spending

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

DR EUGENE M KRUYSMAN

NPI: 1083884076 · BERLIN, NH 03570 · Dental Clinic/Center · NPI assigned 03/05/2008

$12K
Total Medicaid Paid
465
Total Claims
453
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialKRUYSMAN, EUGENE (OWNER)
NPI Enumeration Date03/05/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 312 $8K
2019 153 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 234 229 $7K
D1208 Topical application of fluoride, excluding varnish 204 199 $4K
D1110 Prophylaxis - adult 13 13 $689.00
D1120 Prophylaxis - child 14 12 $456.00