Medicaid Provider Spending

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

NPI: 1326660861 · EPHRATA, PA 17522 · General Practice Dentistry · NPI assigned 05/07/2020

$3K
Total Medicaid Paid
94
Total Claims
94
Beneficiaries
3
Codes Billed
2023-02
First Month
2023-04
Last Month

Provider Details

Authorized OfficialSIEGRIST, EMILY (OFFICE MANAGER)
Parent OrganizationHARVEST DENTAL LLC
NPI Enumeration Date05/07/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 94 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 40 40 $2K
D0120 Periodic oral evaluation - established patient 42 42 $1K
D1120 Prophylaxis - child 12 12 $552.00