Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › FAMILY, COSMETIC & IMPLANT DENTISTRY, DRS. BERDAHL & FEIOCK, P.C.

FAMILY, COSMETIC & IMPLANT DENTISTRY, DRS. BERDAHL & FEIOCK, P.C.

NPI: 1497956304 · SIOUX FALLS, SD 57108 · Dentist · NPI assigned 05/29/2007

$25K
Total Medicaid Paid
788
Total Claims
763
Beneficiaries
4
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERDAHL, MARK (PRESIDENT)
NPI Enumeration Date05/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $279.20
2021 38 $1K
2022 212 $6K
2023 197 $6K
2024 328 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 414 402 $13K
D1206 Topical application of fluoride varnish 273 262 $7K
D1110 Prophylaxis - adult 87 85 $5K
D1120 Prophylaxis - child 14 14 $426.80