Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DRAKE AND ANKENBRANDT PEDIATRIC DENTISTRY OF HURON PC

NPI: 1417551581 · HURON, SD 57350 · Pediatric Dentist · NPI assigned 11/30/2020

$2K
Total Medicaid Paid
69
Total Claims
69
Beneficiaries
3
Codes Billed
2021-03
First Month
2021-03
Last Month

Provider Details

Authorized OfficialDRAKE, VALERIE (PRESIDENT)
NPI Enumeration Date11/30/2020

Related Entities

Other providers sharing the same authorized official: DRAKE, VALERIE

ProviderCityStateTotal Paid
FETTIG AND DRAKE DDS PC ABERDEEN SD $1.05M
RGV DENTAL, PLLC SAN BENITO TX $82K
REDFIELD DRAKE FAMILY DENTISTRY PC REDFIELD SD $77K
EASTSIDE DRAKE SMILES PC SIOUX FALLS SD $50K
ANKENBRANDT AND DRAKE DDS PC HURON SD $24K
DRAKE AND ANKENBRANDT PEDIATRIC DENTISTRY OF ABERDEEN PC ABERDEEN SD $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 69 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 24 24 $1K
D1120 Prophylaxis - child 20 20 $791.40
D1206 Topical application of fluoride varnish 25 25 $570.00