Medicaid Provider Spending

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

HAROLD A SMALL DDS PA

NPI: 1235111667 · CALDWELL, KS 67022 · Dentist · NPI assigned 11/21/2005

$11K
Total Medicaid Paid
481
Total Claims
432
Beneficiaries
4
Codes Billed
2018-06
First Month
2023-11
Last Month

Provider Details

Authorized OfficialSMALL, HAROLD (PRESIDENT)
NPI Enumeration Date11/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48 $893.00
2019 58 $1K
2020 28 $625.02
2021 57 $1K
2022 132 $3K
2023 158 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 317 283 $7K
D1120 Prophylaxis - child 137 125 $4K
D1110 Prophylaxis - adult 12 12 $568.44
D0272 Bitewings - two radiographic images 15 12 $200.00