Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MERIT DENTAL OF CONNECTICUT PC

NPI: 1104295302 · MONDOVI, WI 54755 · Dentist · NPI assigned 09/17/2015

$16K
Total Medicaid Paid
462
Total Claims
441
Beneficiaries
3
Codes Billed
2021-02
First Month
2022-06
Last Month

Provider Details

Authorized OfficialMOOS, JEFFREY (PC OWNER)
NPI Enumeration Date09/17/2015

Related Entities

Other providers sharing the same authorized official: MOOS, JEFFREY

ProviderCityStateTotal Paid
MERIT DENTAL MICHIGAN PC PORTAGE MI $161K
MODERN DENTAL PROFESSIONALS MINNESOTA PC WELLS MN $45K
MODERN DENTAL PROFESSIONALS, MN PC EAGAN MN $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 323 $11K
2022 139 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 183 173 $7K
D0120 Periodic oral evaluation - established patient 164 156 $5K
D1206 Topical application of fluoride varnish 115 112 $3K