Medicaid Provider Spending

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

CHRISTENSEN PEDIATRIC DENTISTRY

NPI: 1295343119 · SIOUX FALLS, SD 57108 · Pediatric Dentist · NPI assigned 07/16/2020

$5K
Total Medicaid Paid
193
Total Claims
193
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHRISTENSEN, CONNER (PEDIATRIC DENTIST)
Parent OrganizationABC PEDIATRIC DENTISTRY
NPI Enumeration Date07/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 193 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 55 $1K
D1206 Topical application of fluoride varnish 73 73 $1K
D1120 Prophylaxis - child 39 39 $1K
D0272 Bitewings - two radiographic images 26 26 $757.72