Medicaid Provider Spending

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

AMANN & GRASLIE DDS, PC

NPI: 1225161383 · SPEARFISH, SD 57783 · Dentist · NPI assigned 03/14/2007

$62K
Total Medicaid Paid
2,223
Total Claims
2,198
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAMANN, JEFFREY (PRESIDENT)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 367 $10K
2019 454 $13K
2020 223 $7K
2021 282 $8K
2022 350 $10K
2023 332 $8K
2024 215 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 863 851 $25K
D1206 Topical application of fluoride varnish 844 831 $20K
D1120 Prophylaxis - child 350 350 $13K
D0272 Bitewings - two radiographic images 142 142 $4K
D1110 Prophylaxis - adult 24 24 $754.98