Medicaid Provider Spending

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

CARR DENTISTRY P.C.

NPI: 1114508678 · YORK, NE 68467 · Dental Clinic/Center · NPI assigned 04/16/2021

$3K
Total Medicaid Paid
150
Total Claims
142
Beneficiaries
4
Codes Billed
2021-06
First Month
2023-08
Last Month

Provider Details

Authorized OfficialCARR, JESSE (OWNER)
NPI Enumeration Date04/16/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 44 $961.96
2022 77 $883.50
2023 29 $781.19

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 27 27 $674.25
D0120 Periodic oral evaluation - established patient 27 27 $668.01
D0140 Limited oral evaluation - problem focused 31 31 $664.39
D1999 65 57 $620.00