Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ABBADENT DENTAL LLC
NPI: 1114490794 · DUBUQUE, IA 52003 ·
Dental Clinic/Center
· NPI assigned 01/07/2019
$28K
Total Medicaid Paid
1,754
Total Claims
1,572
Beneficiaries
5
Codes Billed
2019-01
First Month
2021-06
Last Month
Provider Details
Authorized Official
MCCARRON, JODI
(OFFICE MANAGER)
NPI Enumeration Date
01/07/2019
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
922
$14K
2020
539
$9K
2021
293
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
751
682
$11K
D1120
Prophylaxis - child
412
360
$8K
D1206
Topical application of fluoride varnish
458
404
$6K
D1110
Prophylaxis - adult
100
96
$3K
D0272
Bitewings - two radiographic images
33
30
$441.99