Medicaid Provider Spending

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

NPI: 1134300098 · PERHAM, MN 56573 · Dental Clinic/Center · NPI assigned 11/20/2007

$349.53
Total Medicaid Paid
104
Total Claims
102
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialSTURDEVANT, TAMMY (OWNER)
NPI Enumeration Date11/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $0.00
2019 13 $349.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 64 63 $349.53
D1206 Topical application of fluoride varnish 40 39 $0.00