Medicaid Provider Spending

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

NORTHWEST INDIANA CENTER FOR DENTAL IMPLANTS AND GERNERAL DENTISTRY

NPI: 1174900179 · SCHERERVILLE, IN 46375 · General Practice Dentistry · NPI assigned 04/29/2015

$66K
Total Medicaid Paid
1,775
Total Claims
1,661
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFRAZEE, JOHN (DENTIST/ OWNER)
NPI Enumeration Date04/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 109 $360.68
2019 108 $4K
2020 286 $11K
2021 425 $16K
2022 290 $9K
2023 298 $12K
2024 259 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,014 944 $48K
D0120 Periodic oral evaluation - established patient 675 638 $15K
D0274 Bitewings - four radiographic images 51 51 $2K
D0140 Limited oral evaluation - problem focused 19 15 $678.54
D0150 Comprehensive oral evaluation - new or established patient 16 13 $442.33