Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › JOES › SPARKLING SMILES MOBILE DENTISTRY LLC

SPARKLING SMILES MOBILE DENTISTRY LLC

NPI: 1235730953 · JOES, CO 80822 · Dental Hygienist · NPI assigned 11/09/2020

$5K
Total Medicaid Paid
207
Total Claims
207
Beneficiaries
2
Codes Billed
2021-03
First Month
2023-09
Last Month

Provider Details

Authorized OfficialFICKEN, KASSIDEE (RDH)
NPI Enumeration Date11/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $683.70
2022 82 $2K
2023 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 152 152 $4K
D1206 Topical application of fluoride varnish 55 55 $1K