Medicaid Provider Spending

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

BUNDY FAMILY DENTISTRY

NPI: 1447945928 · ASHLAND, NE 68003 · Dental Clinic/Center · NPI assigned 04/10/2023

$4K
Total Medicaid Paid
169
Total Claims
164
Beneficiaries
5
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUNDY, ROBERT (OWNER/DENTIST)
NPI Enumeration Date04/10/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 169 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 44 44 $1K
D0274 Bitewings - four radiographic images 56 54 $1K
D0120 Periodic oral evaluation - established patient 44 41 $1K
D1110 Prophylaxis - adult 12 12 $401.76
D1206 Topical application of fluoride varnish 13 13 $312.65