Medicaid Provider Spending

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

NPI: 1275901712 · CENTRAL POINT, OR 97502 · General Practice Dentistry · NPI assigned 09/14/2015

$0.00
Total Medicaid Paid
8,936
Total Claims
3,138
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialBRATLAND, MICHAEL (OWNER)
Parent OrganizationCRISDENTAL PC
NPI Enumeration Date09/14/2015

Related Entities

Other providers sharing the same authorized official: BRATLAND, MICHAEL

ProviderCityStateTotal Paid
CRISDENTAL GRANTS PASS LLC GRANTS PASS OR $6K
CRISDENTAL SALEM L.L.C. SALEM OR $1K
CRISDENTAL EAGLE POINT LLC EAGLE POINT OR $1K
CRIS DENTAL GROUP EUGENE OR $137.00
CRIS DENTAL GROUP SPRINGFIELD OR $111.00
CRISDENTAL LINCOLN CITY, LLC LINCOLN CITY OR $46.00
AMERICAN DENTAL L.L.C ROSEBURG OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,936 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0603 1,148 813 $0.00
D0120 Periodic oral evaluation - established patient 67 56 $0.00
D1330 1,303 912 $0.00
D1208 Topical application of fluoride, excluding varnish 272 205 $0.00
D0150 Comprehensive oral evaluation - new or established patient 220 170 $0.00
D1351 Sealant - per tooth 28 14 $0.00
D0140 Limited oral evaluation - problem focused 162 129 $0.00
D0210 Intraoral - complete series of radiographic images 13 13 $0.00
D0220 Intraoral - periapical first radiographic image 164 135 $0.00
D1354 5,294 480 $0.00
D1120 Prophylaxis - child 114 83 $0.00
D1110 Prophylaxis - adult 60 44 $0.00
D0270 15 15 $0.00
D0191 26 25 $0.00
D0274 Bitewings - four radiographic images 50 44 $0.00