Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
WY
›
JACKSON
› NATHAN TANNER PC
NATHAN TANNER PC
NPI: 1144862293 · JACKSON, WY 83001 ·
Dental Clinic/Center
· NPI assigned 10/10/2019
$5K
Total Medicaid Paid
163
Total Claims
157
Beneficiaries
3
Codes Billed
2020-07
First Month
2021-07
Last Month
Provider Details
Authorized Official
KRAUSE, LYNETTE
(INSURANCE COORDINATOR)
NPI Enumeration Date
10/10/2019
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
53
$2K
2021
110
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
101
99
$3K
D1206
Topical application of fluoride varnish
46
44
$1K
D1120
Prophylaxis - child
16
14
$443.69