Medicaid Provider Spending

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

HENNESSEY FAMILY DENTISTRY PC

NPI: 1508180464 · CEDAR FALLS, IA 50613 · General Practice Dentistry · NPI assigned 03/22/2010

$64K
Total Medicaid Paid
3,087
Total Claims
3,023
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENNESSEY, ANNE (OWNER)
NPI Enumeration Date03/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 250 $5K
2019 233 $4K
2020 328 $7K
2021 583 $14K
2022 652 $13K
2023 578 $11K
2024 463 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,511 1,469 $28K
D1110 Prophylaxis - adult 478 474 $15K
D1206 Topical application of fluoride varnish 869 854 $15K
D1120 Prophylaxis - child 200 198 $6K
D0274 Bitewings - four radiographic images 29 28 $472.22