Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › SHELTON › SQUAXIN ISLAND DENTAL CLINIC FFS

SQUAXIN ISLAND DENTAL CLINIC FFS

NPI: 1255546578 · SHELTON, WA 98584 · Dental Clinic/Center · NPI assigned 05/11/2007

$0.00
Total Medicaid Paid
130
Total Claims
118
Beneficiary Records
3
Codes Billed
2022-10
First Month
2023-03
Last Month

Provider Details

Authorized OfficialJONES, WHITNEY (DIRECTOR)
NPI Enumeration Date05/11/2007

Related Entities

Other providers sharing the same authorized official: JONES, WHITNEY

ProviderCityStateTotal Paid
SQUAXIN ISLAND MEDICAL ENCOUNTER SHELTON WA $4.61M
SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER SHELTON WA $1.12M
EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC, INC PENDLETON OR $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 91 $0.00
2023 39 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1206 Topical application of fluoride varnish 14 14 $0.00
D0220 Intraoral - periapical first radiographic image 12 12 $0.00
T1015 Clinic visit/encounter, all-inclusive 104 92 $0.00