Medicaid Provider Spending

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

CLEMONS & JONES FAMILY DENTISTRY, P.C.

NPI: 1437247202 · IOWA CITY, IA 52240 · General Practice Dentistry · NPI assigned 10/10/2006

$3K
Total Medicaid Paid
187
Total Claims
180
Beneficiaries
3
Codes Billed
2018-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialJONES, GARRIK (OWNER/DENTIST)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $2K
2019 38 $594.88
2020 12 $147.33
2021 26 $492.38

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 120 117 $2K
D1206 Topical application of fluoride varnish 54 51 $768.24
D1110 Prophylaxis - adult 13 12 $429.84