Medicaid Provider Spending

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

WESTERN SKY DENTAL LLC

NPI: 1255066106 · CHEYENNE, WY 82001 · Dental Clinic/Center · NPI assigned 07/22/2022

$4K
Total Medicaid Paid
82
Total Claims
82
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-05
Last Month

Provider Details

Authorized OfficialASHDOWN, RORY (CO-OWNER)
NPI Enumeration Date07/22/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 82 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 41 41 $2K
D0120 Periodic oral evaluation - established patient 41 41 $1K