Medicaid Provider Spending

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

QUALITY DENTAL CARE, LLC

NPI: 1386933448 · OMAHA, NE 68154 · Dentist · NPI assigned 03/29/2011

$8K
Total Medicaid Paid
408
Total Claims
408
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialTRUMM, ERICH (OWNER)
NPI Enumeration Date03/29/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 158 $3K
2019 106 $2K
2020 144 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 188 188 $4K
D1206 Topical application of fluoride varnish 168 168 $4K
D1110 Prophylaxis - adult 25 25 $665.94
D1999 15 15 $150.00
D0220 Intraoral - periapical first radiographic image 12 12 $54.00