Medicaid Provider Spending

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

NPI: 1447536578 · CAVALIER, ND 58220 · General Practice Dentistry · NPI assigned 11/03/2011

$8K
Total Medicaid Paid
331
Total Claims
280
Beneficiaries
3
Codes Billed
2018-09
First Month
2022-12
Last Month

Provider Details

Authorized OfficialSTEVENS, STERLING (OWNER)
NPI Enumeration Date11/03/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $752.45
2019 78 $2K
2020 27 $769.23
2021 89 $2K
2022 109 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 273 241 $7K
D1206 Topical application of fluoride varnish 38 25 $667.86
D0272 Bitewings - two radiographic images 20 14 $430.21