Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › ST IGNATIUS › PENTURF, ANN

PENTURF, ANN

NPI: 1508904905 · ST IGNATIUS, MT 59865 · General Practice Dentistry · NPI assigned 02/01/2007

$631.60
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2019-02
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $631.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $409.56
D0120 Periodic oral evaluation - established patient 13 13 $222.04