Medicaid Provider Spending

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

NPI: 1376790626 · SIOUX FALLS, SD 57104 · Dental Clinic/Center · NPI assigned 08/19/2008

$6K
Total Medicaid Paid
192
Total Claims
192
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialBRUNICK, ANN (DEPARTMENT CHAIRPERSON)
Parent OrganizationUSD DENTAL HYGIENE OF VERMILLION
NPI Enumeration Date08/19/2008

Related Entities

Other providers sharing the same authorized official: BRUNICK, ANN

ProviderCityStateTotal Paid
UNIVERSITY OF SOUTH DAKOTA DENTAL HYGIENE VERMILLION SD $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $3K
2019 68 $2K
2022 20 $644.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 91 91 $2K
D1110 Prophylaxis - adult 45 45 $2K
D1206 Topical application of fluoride varnish 56 56 $1K