Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › REDFIELD › REDFIELD DRAKE FAMILY DENTISTRY PC

REDFIELD DRAKE FAMILY DENTISTRY PC

NPI: 1497339626 · REDFIELD, SD 57469 · General Practice Dentistry · NPI assigned 05/12/2021

$77K
Total Medicaid Paid
2,168
Total Claims
1,515
Beneficiaries
13
Codes Billed
2021-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDRAKE, VALERIE (PRESIDENT)
NPI Enumeration Date05/12/2021

Related Entities

Other providers sharing the same authorized official: DRAKE, VALERIE

ProviderCityStateTotal Paid
FETTIG AND DRAKE DDS PC ABERDEEN SD $1.05M
RGV DENTAL, PLLC SAN BENITO TX $82K
EASTSIDE DRAKE SMILES PC SIOUX FALLS SD $50K
ANKENBRANDT AND DRAKE DDS PC HURON SD $24K
DRAKE AND ANKENBRANDT PEDIATRIC DENTISTRY OF ABERDEEN PC ABERDEEN SD $5K
DRAKE AND ANKENBRANDT PEDIATRIC DENTISTRY OF HURON PC HURON SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 19 $662.55
2022 931 $35K
2023 991 $33K
2024 227 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 649 87 $23K
D1110 Prophylaxis - adult 226 226 $12K
D1206 Topical application of fluoride varnish 491 490 $12K
D0150 Comprehensive oral evaluation - new or established patient 217 217 $9K
D1120 Prophylaxis - child 192 192 $8K
D0120 Periodic oral evaluation - established patient 94 94 $3K
D2140 42 25 $3K
D0210 Intraoral - complete series of radiographic images 26 26 $2K
D0230 Intraoral - periapical each additional radiographic image 108 35 $1K
D0274 Bitewings - four radiographic images 38 38 $1K
D0220 Intraoral - periapical first radiographic image 36 36 $666.08
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $509.52
D0603 37 37 $275.83