Medicaid Provider Spending

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

NPI: 1194157818 · SILOAM SPRINGS, AR 72761 · General Practice Dentistry · NPI assigned 08/05/2013

$53K
Total Medicaid Paid
1,941
Total Claims
1,474
Beneficiaries
8
Codes Billed
2018-02
First Month
2020-06
Last Month

Provider Details

Authorized OfficialJEPPSEN, PETER (OWNER)
NPI Enumeration Date08/05/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 989 $28K
2019 856 $23K
2020 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 648 504 $16K
D1208 649 501 $12K
D1110 277 216 $12K
D0272 192 124 $4K
D1120 111 87 $4K
D2150 25 14 $2K
D0210 17 15 $1K
D9230 22 13 $588.40