Medicaid Provider Spending

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

WHITE RIVER DENTAL HYGIENE, PLLC

NPI: 1285010983 · MEEKER, CO 81641 · Dental Hygienist · NPI assigned 08/04/2015

$5K
Total Medicaid Paid
157
Total Claims
157
Beneficiary Records
3
Codes Billed
2021-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBRENNAN, KARI (OWNER/DENTAL HYGIENIST)
NPI Enumeration Date08/04/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 25 $648.28
2022 26 $564.47
2023 77 $2K
2024 29 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 101 101 $3K
D1110 Prophylaxis - adult 13 13 $1K
D1206 Topical application of fluoride varnish 43 43 $757.46