Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AK › NORTH POLE › DENTAL WORKSHOP PARTNERSHIP

DENTAL WORKSHOP PARTNERSHIP

NPI: 1346640331 · NORTH POLE, AK 99705 · General Practice Dentistry · NPI assigned 08/27/2014

$46K
Total Medicaid Paid
1,236
Total Claims
1,129
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialBAUER, JEREMY (DENTIST)
NPI Enumeration Date08/27/2014

Related Entities

Other providers sharing the same authorized official: BAUER, JEREMY

ProviderCityStateTotal Paid
WEST HOLT MEMORIAL HOSPITAL ATKINSON NE $245K
WEST HOLT MEMORIAL HOSPITAL ATKINSON NE $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 487 $18K
2019 449 $20K
2020 193 $4K
2021 107 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 242 237 $15K
D1206 Topical application of fluoride varnish 508 464 $13K
D0120 Periodic oral evaluation - established patient 259 229 $10K
D1110 Prophylaxis - adult 84 74 $6K
D0150 Comprehensive oral evaluation - new or established patient 32 29 $2K
D0274 Bitewings - four radiographic images 19 17 $973.42
D1999 92 79 $0.00