Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › LACEY › PETERSON AND CAMMACK, D.D.S., P.L.L.C

PETERSON AND CAMMACK, D.D.S., P.L.L.C

NPI: 1437494036 · LACEY, WA 98503 · General Practice Dentistry · NPI assigned 12/07/2012

$1K
Total Medicaid Paid
107
Total Claims
101
Beneficiaries
2
Codes Billed
2018-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialPETERSON, VENN (PRESIDENT)
NPI Enumeration Date12/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $192.59
2019 17 $170.86
2021 13 $127.40
2022 12 $167.88
2023 53 $789.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 80 76 $1K
D1206 Topical application of fluoride varnish 27 25 $255.28