Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTAL CARE ASSOCIATES OF BUFFALO PA

NPI: 1477564219 · BUFFALO, MN 55313 · Dental Clinic/Center · NPI assigned 08/10/2006

$224.63
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-03
First Month
2018-03
Last Month

Provider Details

Authorized OfficialSPIER, LISA (OWNER)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $224.63

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 13 13 $224.63