Medicaid Provider Spending

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

NPI: 1164689139 · PAGE, AZ 86040 · General Practice Dentistry · NPI assigned 05/19/2008

$10K
Total Medicaid Paid
779
Total Claims
772
Beneficiaries
4
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGIFFORD, JEFFREY (PRESIDENT)
NPI Enumeration Date05/19/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 103 $0.00
2021 103 $0.00
2022 242 $0.00
2023 117 $3K
2024 214 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 460 455 $5K
D0120 Periodic oral evaluation - established patient 226 224 $4K
D1120 Prophylaxis - child 81 81 $1K
D0601 12 12 $0.00