Medicaid Provider Spending

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

KEVEN FREEMAN DMD PLLC

NPI: 1356879720 · CALDWELL, ID 83605 · Dental Clinic/Center · NPI assigned 05/30/2017

$56K
Total Medicaid Paid
2,653
Total Claims
2,650
Beneficiaries
7
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFREEMAN, KEVEN (OWNER)
NPI Enumeration Date05/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 406 $8K
2021 678 $14K
2022 702 $16K
2023 553 $12K
2024 314 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 619 618 $48K
D1120 Prophylaxis - child 92 92 $7K
D0140 Limited oral evaluation - problem focused 44 44 $595.21
D0120 Periodic oral evaluation - established patient 1,054 1,053 $234.05
D0274 Bitewings - four radiographic images 141 141 $103.53
D1208 Topical application of fluoride, excluding varnish 678 677 $0.00
D0220 Intraoral - periapical first radiographic image 25 25 $0.00