Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › SHAWD NBD 26TH P.C.

SHAWD NBD 26TH P.C.

NPI: 1235440769 · SIOUX FALLS, SD 57106 · General Practice Dentistry · NPI assigned 06/30/2010

$5K
Total Medicaid Paid
305
Total Claims
305
Beneficiaries
3
Codes Billed
2018-02
First Month
2023-01
Last Month

Provider Details

Authorized OfficialOLSON, LYNN (HR MANAGER)
NPI Enumeration Date06/30/2010

Related Entities

Other providers sharing the same authorized official: OLSON, LYNN

ProviderCityStateTotal Paid
SHAWD NEIGHBORHOOD DENTAL CLINIC BERESFORD P.C. BERESFORD SD $249K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $228.20
2021 111 $2K
2022 151 $2K
2023 29 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 162 162 $3K
D1206 Topical application of fluoride varnish 118 118 $2K
D1120 Prophylaxis - child 25 25 $507.64