Medicaid Provider Spending

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

MT PLEASANT DENTAL ASSOCIATES, P.C.

NPI: 1417097445 · MT PLEASANT, IA 52641 · Dental Clinic/Center · NPI assigned 02/07/2007

$49K
Total Medicaid Paid
2,224
Total Claims
2,126
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialSITAR, JEFFERY (OWNER)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 627 $14K
2019 764 $18K
2020 674 $14K
2021 159 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 532 513 $18K
D0120 Periodic oral evaluation - established patient 901 855 $16K
D1206 Topical application of fluoride varnish 599 572 $9K
D1120 Prophylaxis - child 144 138 $4K
D0274 Bitewings - four radiographic images 48 48 $1K