Medicaid Provider Spending

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

WASATCH FAMILY DENTISTRY

NPI: 1477649697 · HEBER CITY, UT 84032 · General Practice Dentistry · NPI assigned 10/05/2006

$6K
Total Medicaid Paid
195
Total Claims
190
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialLOBROT, REED (PRES)
NPI Enumeration Date10/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 195 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 38 36 $6K
D0220 Intraoral - periapical first radiographic image 54 53 $16.63
D0272 Bitewings - two radiographic images 12 12 $0.00
D1206 Topical application of fluoride varnish 31 31 $0.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $0.00
D1120 Prophylaxis - child 19 19 $0.00
D0274 Bitewings - four radiographic images 29 27 $0.00