Medicaid Provider Spending

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

STEPHEN C. VANTASELL, D.D.S.,P.C.

NPI: 1336325844 · FAIRFIELD, IA 52556 · Dentist · NPI assigned 01/15/2008

$45K
Total Medicaid Paid
2,382
Total Claims
2,188
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVANTASELL, STEPHEN (PRESIDENT)
NPI Enumeration Date01/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 285 $5K
2019 325 $6K
2020 280 $5K
2021 350 $5K
2022 361 $6K
2023 397 $8K
2024 384 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,013 938 $18K
D1120 Prophylaxis - child 535 486 $14K
D1208 Topical application of fluoride, excluding varnish 729 661 $10K
D1110 Prophylaxis - adult 52 51 $2K
D1206 Topical application of fluoride varnish 53 52 $897.20