Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ASSOCIATED DENTAL CARE OF HELENA, PLLC

NPI: 1376812982 · HELENA, MT 59601 · Dental Clinic/Center · NPI assigned 12/28/2011

$6K
Total Medicaid Paid
218
Total Claims
194
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMCLELLAN, INGRID (DENTIST)
NPI Enumeration Date12/28/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62 $2K
2019 32 $597.62
2021 75 $2K
2022 13 $425.82
2023 36 $581.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 122 111 $3K
D1206 Topical application of fluoride varnish 82 71 $2K
D1110 Prophylaxis - adult 14 12 $731.93