Medicaid Provider Spending

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

STEBBINS DENTAL STUDIO, INC.

NPI: 1376929083 · WHITEFISH, MT 59937 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/04/2015

$4K
Total Medicaid Paid
245
Total Claims
235
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialSTEBBINS, MANDREA (OWNER)
NPI Enumeration Date08/04/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 245 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 110 104 $2K
D0603 86 82 $761.86
D1110 Prophylaxis - adult 14 14 $722.38
D0120 Periodic oral evaluation - established patient 21 21 $523.42
D0274 Bitewings - four radiographic images 14 14 $448.49