Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › CHARLES CITY › CENTRAL PARK DENTISTRY

CENTRAL PARK DENTISTRY

NPI: 1386164622 · CHARLES CITY, IA 50616 · General Practice Dentistry · NPI assigned 06/27/2017

$386.81
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2021-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWENDLAND, DAWN (FRONT OFFICE COORDINTOR)
NPI Enumeration Date06/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $386.81

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 15 15 $229.18
D1208 Topical application of fluoride, excluding varnish 12 12 $157.63