Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › PRESCOTT › PRESCOTT FAMILY DENTAL

PRESCOTT FAMILY DENTAL

NPI: 1093113789 · PRESCOTT, WI 54021 · 1223G0001X

$1K
Total Medicaid Paid
127
Total Claims
116
Beneficiaries
3
Codes Billed
2018-03
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $320.52
2019 12 $180.48
2020 60 $0.00
2022 28 $601.67

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 54 54 $975.77
D1206 13 12 $126.90
D1999 60 50 $0.00