Medicaid Provider Spending

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

NPI: 1356817118 · GREYBULL, WY 82426 · General Practice Dentistry · NPI assigned 10/19/2018

$4K
Total Medicaid Paid
148
Total Claims
142
Beneficiaries
6
Codes Billed
2019-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialANDERSON, LANCE (DENTIST/OWNER)
NPI Enumeration Date10/19/2018

Related Entities

Other providers sharing the same authorized official: ANDERSON, LANCE

ProviderCityStateTotal Paid
LOVELL DENTAL LOVELL WY $161K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $240.00
2022 53 $2K
2023 83 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 71 65 $2K
D1120 Prophylaxis - child 27 27 $921.51
D1110 Prophylaxis - adult 13 13 $633.75
D0140 Limited oral evaluation - problem focused 13 13 $482.68
D1208 Topical application of fluoride, excluding varnish 12 12 $240.00
D0220 Intraoral - periapical first radiographic image 12 12 $146.30