Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ASPEN HILLS DENTAL LLC
NPI: 1417351602 · AFTON, WY 83110 ·
Dentist
· NPI assigned 10/16/2014
$5K
Total Medicaid Paid
162
Total Claims
161
Beneficiaries
3
Codes Billed
2018-03
First Month
2020-05
Last Month
Provider Details
Authorized Official
LIVINGSTON, JEANELLE
(OPERATIONS LEADER)
NPI Enumeration Date
10/16/2014
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
68
$2K
2019
53
$2K
2020
41
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
58
58
$2K
D1206
Topical application of fluoride varnish
54
53
$2K
D1120
Prophylaxis - child
50
50
$2K