Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WAVERLY › WALSWORTH FAMILY DENTISTRY, P.C.

WALSWORTH FAMILY DENTISTRY, P.C.

NPI: 1346761731 · WAVERLY, IA 50677 · General Practice Dentistry · NPI assigned 07/06/2017

$1K
Total Medicaid Paid
60
Total Claims
52
Beneficiaries
3
Codes Billed
2019-07
First Month
2020-08
Last Month

Provider Details

Authorized OfficialWALSWORTH, JOEL (OWNER)
NPI Enumeration Date07/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $1K
2020 22 $224.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $511.37
D0120 Periodic oral evaluation - established patient 35 27 $473.30
D1206 Topical application of fluoride varnish 13 13 $245.23