Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SOUTH JORDAN › DAVID M. S. STEWART DDS PC

DAVID M. S. STEWART DDS PC

NPI: 1215213905 · SOUTH JORDAN, UT 84095 · Pediatric Dentist · NPI assigned 10/26/2011

$76K
Total Medicaid Paid
2,917
Total Claims
2,863
Beneficiaries
8
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEWART, DAVID (OWNER)
NPI Enumeration Date10/26/2011

Related Entities

Other providers sharing the same authorized official: STEWART, DAVID

ProviderCityStateTotal Paid
MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC CANTON OH $2.66M
MERCY MEDICAL CENTER, INC. NORTH CANTON OH $467K
MERCY MEDICAL CENTER, INC. NORTH CANTON OH $322K
MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC CANTON OH $238K
DAVID TATE STEWART LPC CHECK VA $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,141 $29K
2024 1,776 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 612 608 $27K
D0120 Periodic oral evaluation - established patient 547 542 $15K
D1206 Topical application of fluoride varnish 614 609 $13K
D0272 Bitewings - two radiographic images 351 348 $9K
D0220 Intraoral - periapical first radiographic image 399 393 $6K
D0230 Intraoral - periapical each additional radiographic image 355 324 $4K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $1K
D0274 Bitewings - four radiographic images 12 12 $492.78