Medicaid Provider Spending

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

PRIMARY CONNECTION HEALTH CARE, INC.

NPI: 1457370744 · WAUSAU, WI 54403 · Dentist · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, JENNIFER controls 18+ related entities in our dataset. Read more

$11.48M
Total Medicaid Paid
146,787
Total Claims
121,042
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JENNIFER (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: SMITH, JENNIFER

ProviderCityStateTotal Paid
BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $8.33M
FAMILY HEALTH CARE OF NORTHWEST OHIO, INC VAN WERT OH $6.21M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $5.67M
BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $3.30M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $2.81M
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES BEDFORD PA $439K
AMANDA-CLEARCREEK LOCAL SCHOOL DISTRICT AMANDA OH $232K
THE SPORTS MEDICINE SHOP, INC ANDERSON SC $205K
MANDALA THERAPEUTIC SERVICES ASHLAND KY $163K
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES SOMERSET PA $107K
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES BEDFORD PA $88K
PROGRESSIVE PHYSICAL THERAPY LLC BENNINGTON VT $54K
ACTIVE CARE CHIROPRACTIC CHATTANOOGA TN $32K
MALCOLM DEREK SMITH, DPM PC PONCA CITY OK $26K
SHELBY CHIROPRACTIC PLLC SHELBY NC $4K
TWIN RIVER CHIROPRACTIC SMITHFIELD RI $3K
HEALTH AND WELLNESS CHIROPRACTIC CENTER PA ORANGE CITY FL $2K
BRYAN D FULLER MD PA CONWAY AR $431.86

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,777 $2.26M
2019 34,209 $2.82M
2020 17,578 $1.56M
2021 18,961 $1.51M
2022 14,612 $1.01M
2023 14,228 $1.09M
2024 16,422 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 46,663 37,264 $10.89M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,874 4,000 $126K
90837 Psychotherapy, 53 minutes with patient 2,274 964 $93K
90834 Psychotherapy, 45 minutes with patient 2,836 1,086 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,403 1,658 $61K
D1110 Prophylaxis - adult 15,069 13,805 $29K
D0210 Intraoral - complete series of radiographic images 5,347 4,850 $21K
D7140 Extraction, erupted tooth or exposed root 4,086 2,210 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 151 136 $14K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,315 1,114 $11K
D0120 Periodic oral evaluation - established patient 9,813 8,955 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,612 1,182 $10K
90686 680 609 $8K
D0150 Comprehensive oral evaluation - new or established patient 3,976 3,580 $8K
90739 160 127 $8K
D1206 Topical application of fluoride varnish 10,731 9,772 $8K
D1120 Prophylaxis - child 3,030 2,757 $8K
80061 Lipid panel 845 741 $8K
99000 3,005 2,522 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,427 1,034 $7K
D2150 Silver amalgam - two surfaces, primary or permanent 1,120 800 $6K
D0140 Limited oral evaluation - problem focused 4,941 4,461 $6K
D0274 Bitewings - four radiographic images 5,188 4,723 $6K
90832 Psychotherapy, 30 minutes with patient 170 53 $4K
80053 Comprehensive metabolic panel 636 549 $4K
90715 137 125 $4K
83036 Hemoglobin; glycosylated (A1C) 677 573 $4K
96127 605 514 $3K
99215 Prolong outpt/office vis 106 73 $3K
D2140 630 403 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 57 49 $2K
D0220 Intraoral - periapical first radiographic image 4,298 3,906 $2K
90792 Psychiatric diagnostic evaluation with medical services 41 28 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 294 263 $1K
80048 Basic metabolic panel (calcium, ionized) 171 152 $1K
D4355 31 31 $963.59
90716 17 16 $850.74
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $694.42
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 41 37 $659.65
D1351 Sealant - per tooth 391 131 $597.60
D1208 Topical application of fluoride, excluding varnish 174 171 $583.83
99442 38 26 $530.28
D9110 115 109 $338.24
90713 27 25 $292.98
90656 76 74 $249.59
80305 30 28 $243.31
90633 15 15 $225.90
D0272 Bitewings - two radiographic images 60 55 $211.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,247 1,090 $199.39
36415 Collection of venous blood by venipuncture 4,042 3,297 $186.26
85027 31 27 $164.54
90791 Psychiatric diagnostic evaluation 23 13 $116.85
90472 Immunization administration, each additional vaccine (list separately) 465 418 $27.78
90460 Immunization administration through 18 years of age via any route, first or only component 85 74 $0.00
D0330 Panoramic radiographic image 52 46 $0.00
D9910 71 34 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 27 13 $0.00
D0170 66 56 $0.00
D0230 Intraoral - periapical each additional radiographic image 105 65 $0.00
D5899 22 12 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 101 83 $0.00
D3120 36 30 $0.00
D2331 18 15 $0.00