Medicaid Provider Spending

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

PERRY DENTAL

NPI: 1437749694 · PERRY, UT 84302 · Dental Clinic/Center · NPI assigned 01/21/2021

$4K
Total Medicaid Paid
132
Total Claims
132
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTOONE, TARA (MANAGER)
NPI Enumeration Date01/21/2021

Related Entities

Other providers sharing the same authorized official: TOONE, TARA

ProviderCityStateTotal Paid
TOONE INC. GOODING ID $578K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 132 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 71 71 $2K
D0120 Periodic oral evaluation - established patient 29 29 $665.60
D1206 Topical application of fluoride varnish 32 32 $639.76