Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › POCATELLO › SOUTHEAST IDAHO ORTHODONTICS, PLLC

SOUTHEAST IDAHO ORTHODONTICS, PLLC

NPI: 1508080599 · POCATELLO, ID 83201 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 04/12/2007

$39K
Total Medicaid Paid
516
Total Claims
516
Beneficiaries
1
Codes Billed
2018-05
First Month
2020-09
Last Month

Provider Details

Authorized OfficialJOHNSON, ERIC (OWNER)
NPI Enumeration Date04/12/2007

Related Entities

Other providers sharing the same authorized official: JOHNSON, ERIC

ProviderCityStateTotal Paid
NORTHERN HUMAN SERVICES CONWAY NH $64.82M
CITY OF BETHEL BETHEL AK $686K
DULUTHTMS, LLC DULUTH MN $229K
ERIC E JOHNSON MD PC PLYMOUTH MA $47K
EYE HEALTH SERVICES, INC SOUTH YARMOUTH MA $42K
MILE HIGH SMILES PLLC DENVER CO $30K
RESNIK MEDICAL ASSOCIATES PC PLYMOUTH MA $11K
ERIC JOHNSON LLC THORNTON CO $11K
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC PROVO UT $7K
MAYFLOWER MEDICAL ASSOCIATES PC PLYMOUTH MA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 149 $11K
2019 244 $16K
2020 123 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 516 516 $39K