Medicaid Provider Spending

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

DICKINSON & BRANON DENTAL CARE, PLC

NPI: 1275653594 · ST ALBANS, VT 05478 · General Practice Dentistry · NPI assigned 03/30/2007

$3K
Total Medicaid Paid
145
Total Claims
122
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialDICKINSON, RICHARD (PARTNER)
NPI Enumeration Date03/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $1K
2020 14 $300.00
2022 13 $325.00
2023 34 $1K
2024 15 $477.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 111 94 $3K
D1206 Topical application of fluoride varnish 17 15 $506.25
D1208 Topical application of fluoride, excluding varnish 17 13 $234.00