Medicaid Provider Spending

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

ASPEN CREEK DENTAL PLLC

NPI: 1285884056 · NAMPA, ID 83687 · General Practice Dentistry · NPI assigned 09/29/2008

$11K
Total Medicaid Paid
647
Total Claims
607
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialADAMS, GAIL (OWNER)
NPI Enumeration Date09/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $3K
2019 120 $2K
2020 50 $0.00
2021 41 $1K
2022 41 $1K
2023 137 $4K
2024 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 106 106 $9K
D1120 Prophylaxis - child 31 31 $2K
D0272 Bitewings - two radiographic images 17 17 $145.09
D0120 Periodic oral evaluation - established patient 201 201 $122.67
D1206 Topical application of fluoride varnish 139 139 $0.00
D0230 Intraoral - periapical each additional radiographic image 77 38 $0.00
D0220 Intraoral - periapical first radiographic image 76 75 $0.00