Medicaid Provider Spending

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

DENTAL CARE BY THE SQUARE

NPI: 1306001110 · WASHINGTON, IA 52353 · Point of Service · NPI assigned 07/21/2008

$36K
Total Medicaid Paid
1,769
Total Claims
1,674
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialFLORYANOVICH, SERGEY (OWNER)
NPI Enumeration Date07/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 357 $7K
2019 507 $10K
2020 259 $5K
2021 216 $5K
2022 194 $4K
2023 224 $5K
2024 12 $267.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 766 720 $14K
D1110 Prophylaxis - adult 331 319 $11K
D1206 Topical application of fluoride varnish 657 621 $11K
D0274 Bitewings - four radiographic images 15 14 $382.96