Medicaid Provider Spending

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

VALLEY DENTAL, INC

NPI: 1417427493 · COLFAX, WA 99111 · Dental Clinic/Center · NPI assigned 12/03/2018

$45K
Total Medicaid Paid
2,199
Total Claims
2,070
Beneficiaries
9
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIBBS, MARSHALL (OWNER)
NPI Enumeration Date12/03/2018

Related Entities

Other providers sharing the same authorized official: GIBBS, MARSHALL

ProviderCityStateTotal Paid
MC-NSPK LLC SPOKANE WA $393K
MC-LL LLC LIBERTY LAKE WA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 138 $1K
2020 218 $4K
2021 292 $5K
2022 246 $4K
2023 573 $12K
2024 732 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 712 684 $13K
D0120 Periodic oral evaluation - established patient 469 455 $12K
D1120 Prophylaxis - child 354 347 $9K
D9630 151 147 $6K
D0220 Intraoral - periapical first radiographic image 240 216 $2K
D0150 Comprehensive oral evaluation - new or established patient 61 52 $2K
D0330 Panoramic radiographic image 27 27 $790.74
D0230 Intraoral - periapical each additional radiographic image 156 114 $320.67
D0272 Bitewings - two radiographic images 29 28 $288.12