Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › OMAHA › IRISH TAYLOR DENTAL OF ELMWOOD LLC

IRISH TAYLOR DENTAL OF ELMWOOD LLC

NPI: 1285064089 · OMAHA, NE 68106 · Dentist · NPI assigned 11/15/2013

$2K
Total Medicaid Paid
134
Total Claims
127
Beneficiaries
4
Codes Billed
2018-03
First Month
2021-02
Last Month

Provider Details

Authorized OfficialCALDEIRA-IRISH, KICHA (OWNER/DENTIST)
NPI Enumeration Date11/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $1K
2020 54 $720.32
2021 27 $270.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 41 41 $870.32
D1999 67 60 $670.00
D1120 Prophylaxis - child 12 12 $286.00
D1206 Topical application of fluoride varnish 14 14 $260.00