Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DYERSVILLE › ELITE DENTAL, P.C.

ELITE DENTAL, P.C.

NPI: 1134248826 · DYERSVILLE, IA 52040 · General Practice Dentistry · NPI assigned 03/27/2007

$8K
Total Medicaid Paid
306
Total Claims
299
Beneficiaries
3
Codes Billed
2020-07
First Month
2023-03
Last Month

Provider Details

Authorized OfficialKOCH-WOMER, JULIE (BUSINESS OWNER)
NPI Enumeration Date03/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 98 $3K
2021 162 $5K
2022 14 $536.20
2023 32 $732.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 114 110 $3K
D1206 Topical application of fluoride varnish 127 124 $3K
D1120 Prophylaxis - child 65 65 $3K