Medicaid Provider Spending

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

JOHNSON COUNTY DENTAL CARE

NPI: 1417133521 · PRAIRIE VILLAGE, KS 66207 · General Practice Dentistry · NPI assigned 01/18/2008

$55K
Total Medicaid Paid
2,441
Total Claims
2,345
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHURLOW, LISA (DENTIST)
NPI Enumeration Date01/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 284 $5K
2019 197 $4K
2020 302 $4K
2021 515 $13K
2022 433 $11K
2023 493 $13K
2024 217 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 858 835 $19K
D1110 Prophylaxis - adult 383 378 $16K
D1206 Topical application of fluoride varnish 936 899 $16K
D1120 Prophylaxis - child 93 82 $3K
D0274 Bitewings - four radiographic images 32 32 $944.14
D1999 139 119 $0.00