Medicaid Provider Spending

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

HAMILTON ADVANCED DENTISTRY LLC

NPI: 1316320856 · HAMILTON, MT 59840 · Dental Clinic/Center · NPI assigned 07/01/2015

$9K
Total Medicaid Paid
330
Total Claims
316
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialJOHNSON, ELI (PRESIDENT)
NPI Enumeration Date07/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78 $2K
2019 15 $486.15
2020 99 $2K
2021 53 $2K
2022 52 $1K
2023 20 $363.70
2024 13 $367.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 219 207 $6K
D1206 Topical application of fluoride varnish 96 94 $2K
D1110 Prophylaxis - adult 15 15 $741.07