Medicaid Provider Spending

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

WESTWOOD FAMILY DENTAL PC

NPI: 1346525631 · MANKATO, MN 56001 · General Practice Dentistry · NPI assigned 10/18/2011

$2K
Total Medicaid Paid
126
Total Claims
125
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialSIMPSON, JAMES (PRES)
NPI Enumeration Date10/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $0.00
2019 12 $276.24
2020 46 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 98 97 $902.52
D1110 Prophylaxis - adult 28 28 $644.16