Medicaid Provider Spending

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

NPI: 1366748105 · KENMORE, WA 98028 · General Practice Dentistry · NPI assigned 01/26/2011

$510.55
Total Medicaid Paid
39
Total Claims
36
Beneficiary Records
3
Codes Billed
2018-06
First Month
2020-10
Last Month

Provider Details

Authorized OfficialSHACKELFORD, TERI (OFFICE MANGER)
NPI Enumeration Date01/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $400.55
2020 13 $110.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 14 12 $254.80
D1206 Topical application of fluoride varnish 12 12 $145.75
D1999 13 12 $110.00