Medicaid Provider Spending

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

DR JON C BAUMANN DDS PC

NPI: 1295865178 · YANKTON, SD 57078 · General Practice Dentistry · NPI assigned 03/07/2007

$22K
Total Medicaid Paid
706
Total Claims
706
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialBAUMANN, JON (DENTIST)
NPI Enumeration Date03/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 198 $6K
2019 213 $7K
2020 73 $2K
2021 222 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 533 533 $15K
D1110 Prophylaxis - adult 80 80 $4K
D1120 Prophylaxis - child 41 41 $2K
D1208 Topical application of fluoride, excluding varnish 52 52 $1K