Medicaid Provider Spending

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

SERGEANT BLUFF DENTAL, PLLC

NPI: 1497084115 · SERGEANT BLUFF, IA 51054 · General Practice Dentistry · NPI assigned 12/08/2009

$5K
Total Medicaid Paid
209
Total Claims
207
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialHUSEN, RENEE (DENTIST)
NPI Enumeration Date12/08/2009

Related Entities

Other providers sharing the same authorized official: HUSEN, RENEE

ProviderCityStateTotal Paid
SERGEANT BLUFF DENTAL, PC SERGEANT BLUFF IA $372.58

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 209 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 133 132 $3K
D1110 Prophylaxis - adult 20 19 $920.19
D1206 Topical application of fluoride varnish 43 43 $610.96
D1120 Prophylaxis - child 13 13 $498.75