Medicaid Provider Spending

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

LARSEN AND EHLERS

NPI: 1396054748 · SIOUX FALLS, SD 57105 · General Practice Dentistry · NPI assigned 10/04/2010

$53K
Total Medicaid Paid
1,592
Total Claims
1,587
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLARSEN, LORI (PATRNER)
NPI Enumeration Date10/04/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 285 $9K
2019 249 $8K
2020 121 $4K
2021 238 $8K
2022 313 $11K
2023 193 $7K
2024 193 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 943 940 $25K
D1110 Prophylaxis - adult 405 403 $21K
D1208 Topical application of fluoride, excluding varnish 169 169 $4K
D1120 Prophylaxis - child 39 39 $1K
D0274 Bitewings - four radiographic images 36 36 $1K