Medicaid Provider Spending

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

BYLSMA-MULDER FAMILY DENTISTRY, P.C.

NPI: 1316483647 · SIOUX CENTER, IA 51250 · Dental Clinic/Center · NPI assigned 01/10/2017

$6K
Total Medicaid Paid
281
Total Claims
237
Beneficiaries
2
Codes Billed
2018-05
First Month
2023-06
Last Month

Provider Details

Authorized OfficialHULSTEIN, FONDA (OFFICE MANAGER)
NPI Enumeration Date01/10/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $864.22
2019 28 $765.69
2020 32 $617.83
2021 36 $512.99
2022 108 $2K
2023 50 $859.36

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 242 204 $5K
D1110 Prophylaxis - adult 39 33 $1K