Medicaid Provider Spending

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

PLATTE DENTAL CLINIC

NPI: 1215204029 · PLATTE, SD 57369 · General Practice Dentistry · NPI assigned 11/22/2011

$9K
Total Medicaid Paid
329
Total Claims
308
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGRIESE, LANCE (DDS)
NPI Enumeration Date11/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 139 $4K
2019 16 $433.32
2021 29 $675.07
2022 40 $1K
2023 93 $3K
2024 12 $519.84

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 257 246 $8K
D1206 Topical application of fluoride varnish 41 31 $1K
D1208 Topical application of fluoride, excluding varnish 31 31 $663.76