Medicaid Provider Spending

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

COTTER DENTAL PC

NPI: 1346741964 · ELLENDALE, ND 58436 · Dental Clinic/Center · NPI assigned 02/28/2018

$61K
Total Medicaid Paid
2,123
Total Claims
1,759
Beneficiaries
8
Codes Billed
2018-05
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOTTER, BRANDON (OWNER)
NPI Enumeration Date02/28/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 278 $5K
2019 222 $8K
2020 124 $3K
2021 593 $21K
2022 617 $16K
2023 289 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 719 584 $14K
D0120 Periodic oral evaluation - established patient 519 448 $13K
D1110 Prophylaxis - adult 227 190 $11K
D0150 Comprehensive oral evaluation - new or established patient 253 190 $9K
D0274 Bitewings - four radiographic images 225 195 $7K
D1120 Prophylaxis - child 113 99 $4K
D0330 Panoramic radiographic image 44 40 $3K
D0220 Intraoral - periapical first radiographic image 23 13 $217.50