Medicaid Provider Spending

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

SIERRA DENTAL, P.C.

NPI: 1366642464 · SNOWFLAKE, AZ 85937 · Dentist · NPI assigned 07/18/2007

$24K
Total Medicaid Paid
768
Total Claims
762
Beneficiary Records
5
Codes Billed
2018-04
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSIERRA, GERMAN (DENTIST)
NPI Enumeration Date07/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 165 $5K
2019 266 $8K
2020 137 $4K
2021 200 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 340 337 $13K
D0120 Periodic oral evaluation - established patient 327 324 $9K
D0272 Bitewings - two radiographic images 39 39 $854.25
D1208 Topical application of fluoride, excluding varnish 37 37 $677.47
D1206 Topical application of fluoride varnish 25 25 $558.50