Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › KEARNEY › DELAET DENTAL PC

DELAET DENTAL PC

NPI: 1396303988 · KEARNEY, NE 68847 · Dental Clinic/Center · NPI assigned 05/30/2019

$2K
Total Medicaid Paid
190
Total Claims
165
Beneficiaries
2
Codes Billed
2021-12
First Month
2023-11
Last Month

Provider Details

Authorized OfficialDELAET, JOHN (OWNER)
NPI Enumeration Date05/30/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 20 $190.00
2022 98 $1K
2023 72 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 153 128 $1K
D0120 Periodic oral evaluation - established patient 37 37 $891.27