Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › DE PERE › CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

NPI: 1205905619 · DE PERE, WI 54115 · 1223P0221X

$6K
Total Medicaid Paid
319
Total Claims
313
Beneficiaries
3
Codes Billed
2018-06
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $1K
2019 169 $4K
2020 41 $852.08
2021 40 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 210 204 $3K
D0120 95 95 $2K
D1120 14 14 $329.40