Medicaid Provider Spending

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

VALLEY PEDIATRIC DENTISTRY

NPI: 1366102709 · PALMER, AK 99645 · Pediatric Dentist · NPI assigned 12/27/2021

$21K
Total Medicaid Paid
639
Total Claims
455
Beneficiaries
5
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWEN, DOUG (OWNER)
NPI Enumeration Date12/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 139 $5K
2024 500 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 204 167 $10K
D0240 205 87 $5K
D1208 153 133 $4K
D0272 49 40 $1K
D0120 28 28 $1K