Medicaid Provider Spending

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

NPI: 1417393752 · WEST YELLOWSTONE, MT 59758 · General Practice Dentistry · NPI assigned 05/14/2013

$317.80
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialSMITH, RYAN (OWNER/DENTIST)
NPI Enumeration Date05/14/2013

Related Entities

Other providers sharing the same authorized official: SMITH, RYAN

ProviderCityStateTotal Paid
SOUTH PENINSULA HOSPITAL, INC HOMER AK $30.12M
SAWGRASS PEDIATRIC DENTISTRY, LLC MYRTLE BEACH SC $3.56M
SOUTH PENINSULA HOSPITAL, INC. HOMER AK $2.72M
RYAN SMITH COUNSELING SERVICES, LLC KEARNEY NE $460K
GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC BALTIMORE MD $439K
ANESTHESIA SC LLC MYRTLE BEACH SC $2K
GOODWILL INDRUSTRIES OF THE CHESAPEAKE, INC WESTMINSTER MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $317.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $317.80