Medicaid Provider Spending

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

UNIVERSITY OF SOUTH DAKOTA DENTAL HYGIENE

NPI: 1508114695 · VERMILLION, SD 57069 · Dental Clinic/Center · NPI assigned 08/21/2012

$4K
Total Medicaid Paid
204
Total Claims
204
Beneficiaries
5
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBRUNICK, ANN (CHAIRPERSON)
Parent OrganizationUNIVERSITY OF SOUTH DAKOTA
NPI Enumeration Date08/21/2012

Related Entities

Other providers sharing the same authorized official: BRUNICK, ANN

ProviderCityStateTotal Paid
USD DENTAL CLINIC SIOUX FALLS SD $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 42 $1K
2022 36 $879.45
2023 84 $325.20
2024 42 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 69 69 $2K
D1110 Prophylaxis - adult 17 17 $930.00
D1206 Topical application of fluoride varnish 71 71 $720.51
D0272 Bitewings - two radiographic images 26 26 $425.00
D0603 21 21 $20.20