Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › JORDAN › ARROWHEAD DENTAL PC

ARROWHEAD DENTAL PC

NPI: 1164870390 · JORDAN, MT 59337 · Dentist · NPI assigned 05/27/2016

$61K
Total Medicaid Paid
2,155
Total Claims
2,010
Beneficiaries
6
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBROWN, MARY (PRESIDENT)
NPI Enumeration Date05/27/2016

Related Entities

Other providers sharing the same authorized official: BROWN, MARY

ProviderCityStateTotal Paid
FAITH HOME CARE SERVICES, INC JACKSONVILLE FL $239K
NAVIGATOR HOMES OF MARTHA'S VINEYARD, INC. OAK BLUFFS MA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $2K
2019 235 $6K
2020 343 $10K
2021 271 $8K
2022 434 $13K
2023 343 $11K
2024 446 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 899 843 $22K
D1206 Topical application of fluoride varnish 644 616 $14K
D1120 Prophylaxis - child 334 318 $12K
D1110 Prophylaxis - adult 212 179 $10K
D0274 Bitewings - four radiographic images 54 42 $2K
D0330 Panoramic radiographic image 12 12 $690.24