Medicaid Provider Spending

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

FAMILY SMILES DENTAL PROF LLC

NPI: 1487142808 · RAPID CITY, SD 57701 · Dentist · NPI assigned 05/01/2018

$612.60
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2019-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialPATTERSON, FRANK (OWNER)
NPI Enumeration Date05/01/2018

Related Entities

Other providers sharing the same authorized official: PATTERSON, FRANK

ProviderCityStateTotal Paid
PIERRE FAMILY DENTAL PROF LLC PIERRE SD $208K
PATTERSON FAMILY DENTAL PROF LLC WINNER SD $151K
AINSWORTH DENTAL CLINIC LLC AINSWORTH NE $27K
MILLER DENTAL CLINIC PROF LLC MILLER SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $612.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 15 15 $612.60