Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › AMERICAN FALLS › POWER COUNTY DENTAL CLINIC

POWER COUNTY DENTAL CLINIC

NPI: 1093187544 · AMERICAN FALLS, ID 83211 · Dentist · NPI assigned 10/23/2015

$13K
Total Medicaid Paid
596
Total Claims
581
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMILLER, GREGORY (PRESIDENT)
NPI Enumeration Date10/23/2015

Related Entities

Other providers sharing the same authorized official: MILLER, GREGORY

ProviderCityStateTotal Paid
MAGIC KITCHEN, INC. LENEXA KS $13.81M
COUNTY OF SUMNER GALLATIN TN $4.50M
PAULINA PEAK FAMILY HEALTHCARE INC LA PINE OR $24.16
MILLERS FAMILY PHARMACY & GIFT BOUTIQUE INC IOTA LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64 $2K
2019 25 $19.24
2020 84 $2K
2021 155 $2K
2022 95 $3K
2023 76 $1K
2024 97 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 118 118 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 24 12 $2K
D1120 Prophylaxis - child 36 36 $2K
D0272 Bitewings - two radiographic images 244 243 $1K
D0120 Periodic oral evaluation - established patient 147 146 $516.18
D1208 Topical application of fluoride, excluding varnish 27 26 $0.00