Medicaid Provider Spending

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

RUMA R NOVOTNY DDS PC

NPI: 1346950797 · CASPER, WY 82601 · Dental Clinic/Center · NPI assigned 11/28/2022

$11K
Total Medicaid Paid
259
Total Claims
250
Beneficiaries
2
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBENNETT, KAYLA (OFFICE MANAGER)
NPI Enumeration Date11/28/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 130 $5K
2024 129 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 162 157 $6K
D1110 Prophylaxis - adult 97 93 $5K