Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BROOKINGS EMBRACE DENTAL CLINIC LLC

NPI: 1497476097 · BROOKINGS, SD 57006 · General Practice Dentistry · NPI assigned 09/12/2022

$2K
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
2
Codes Billed
2024-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMYERS, JEANNE (CREDENTIALING COORDINATOR)
NPI Enumeration Date09/12/2022

Related Entities

Other providers sharing the same authorized official: MYERS, JEANNE

ProviderCityStateTotal Paid
EMBRACE DENTISTRY DAKOTA DUNES LLC NORTH SIOUX CITY SD $178K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 26 26 $1K
D1206 Topical application of fluoride varnish 28 28 $849.74