Medicaid Provider Spending

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

SAGEBRUSH DENTAL LLC

NPI: 1265999494 · WENATCHEE, WA 98801 · Denturist · NPI assigned 02/24/2019

$98K
Total Medicaid Paid
2,196
Total Claims
1,456
Beneficiaries
8
Codes Billed
2019-08
First Month
2024-03
Last Month

Provider Details

Authorized OfficialJURGES, ERICH (OWNER)
NPI Enumeration Date02/24/2019

Related Entities

Other providers sharing the same authorized official: JURGES, ERICH

ProviderCityStateTotal Paid
CASCADE DENTIST WENATCHEE WA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 45 $791.20
2020 195 $2K
2021 1,014 $43K
2022 509 $29K
2023 408 $22K
2024 25 $864.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 448 54 $45K
D0140 Limited oral evaluation - problem focused 680 642 $20K
D7140 Extraction, erupted tooth or exposed root 247 38 $11K
D0330 Panoramic radiographic image 413 391 $10K
D7310 34 14 $6K
D1208 Topical application of fluoride, excluding varnish 272 241 $4K
D1999 84 61 $840.00
D0220 Intraoral - periapical first radiographic image 18 15 $90.16