Medicaid Provider Spending

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

A & A DENTAL CLINICS PC

NPI: 1386168078 · RONAN, MT 59864 · General Practice Dentistry · NPI assigned 08/03/2017

$18K
Total Medicaid Paid
594
Total Claims
564
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialDAILEY, AMBER (OWNER)
NPI Enumeration Date08/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 204 $6K
2019 245 $7K
2020 102 $4K
2022 30 $737.88
2024 13 $358.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 329 319 $8K
D1110 Prophylaxis - adult 130 119 $7K
D1206 Topical application of fluoride varnish 76 73 $2K
D0274 Bitewings - four radiographic images 14 14 $512.99
D1120 Prophylaxis - child 13 13 $452.53
D0220 Intraoral - periapical first radiographic image 32 26 $424.33