Medicaid Provider Spending

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

SPALDING DENTAL LLC

NPI: 1316280753 · ANCHORAGE, AK 99508 · Dental Clinic/Center · NPI assigned 04/04/2013

$44K
Total Medicaid Paid
982
Total Claims
881
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSPALDING, SHANNON (MEMBER)
NPI Enumeration Date04/04/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $5K
2019 245 $10K
2020 160 $6K
2021 183 $8K
2022 222 $11K
2023 46 $2K
2024 26 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 268 240 $20K
D1206 Topical application of fluoride varnish 354 326 $9K
D0120 Periodic oral evaluation - established patient 207 178 $8K
D0274 Bitewings - four radiographic images 138 124 $7K
D0150 Comprehensive oral evaluation - new or established patient 15 13 $699.93