Medicaid Provider Spending

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

DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC

NPI: 1154523728 · CODY, WY 82414 · General Practice Dentistry · NPI assigned 06/04/2007

$84K
Total Medicaid Paid
3,136
Total Claims
2,733
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWALTON, DERRIK (PRESIDENT)
NPI Enumeration Date06/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 464 $14K
2019 493 $14K
2020 381 $11K
2021 827 $17K
2022 444 $13K
2023 470 $13K
2024 57 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,517 1,349 $42K
D1110 Prophylaxis - adult 375 335 $16K
D1120 Prophylaxis - child 466 413 $14K
D1206 Topical application of fluoride varnish 606 540 $8K
D0272 Bitewings - two radiographic images 104 72 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 12 $1K
D1351 Sealant - per tooth 52 12 $1K