Medicaid Provider Spending

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

ASSOCIATE DENTISTS, P.C.

NPI: 1447249230 · COUNCIL BLUFFS, IA 51501 · General Practice Dentistry · NPI assigned 10/14/2005

$27K
Total Medicaid Paid
1,291
Total Claims
1,256
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialPINKHAM, JIMMIE (OWNER/DENTIST)
NPI Enumeration Date10/14/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,291 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 273 265 $10K
D0120 Periodic oral evaluation - established patient 399 391 $7K
D1206 Topical application of fluoride varnish 255 246 $4K
D1120 Prophylaxis - child 131 130 $3K
D0274 Bitewings - four radiographic images 77 74 $2K
D1208 Topical application of fluoride, excluding varnish 73 71 $1K
D0220 Intraoral - periapical first radiographic image 71 67 $726.02
D0272 Bitewings - two radiographic images 12 12 $193.20