Medicaid Provider Spending

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

KERICKSEN DMD EAST PLLC

NPI: 1407629215 · BILLINGS, MT 59105 · General Practice Dentistry · NPI assigned 11/02/2023

$19K
Total Medicaid Paid
710
Total Claims
539
Beneficiaries
8
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialERICKSEN, KURT (OWNER)
NPI Enumeration Date11/02/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 53 $1K
2024 657 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 216 186 $7K
D1110 Prophylaxis - adult 129 103 $5K
D0220 Intraoral - periapical first radiographic image 169 121 $3K
D0274 Bitewings - four radiographic images 88 69 $2K
D0330 Panoramic radiographic image 33 17 $965.09
D0150 Comprehensive oral evaluation - new or established patient 29 15 $533.62
D0120 Periodic oral evaluation - established patient 15 15 $322.92
D5411 31 13 $298.06