Medicaid Provider Spending

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

DENNIS K SACRY DDS

NPI: 1508938986 · WHITEHALL, MT 59759 · General Practice Dentistry · NPI assigned 11/14/2006

$51K
Total Medicaid Paid
1,573
Total Claims
1,506
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSACRY, DENNIS (OWNER PRES)
NPI Enumeration Date11/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 406 $12K
2019 76 $3K
2020 328 $10K
2021 186 $7K
2022 227 $8K
2023 247 $9K
2024 103 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 581 558 $28K
D0120 Periodic oral evaluation - established patient 776 739 $18K
D0274 Bitewings - four radiographic images 85 84 $3K
D1206 Topical application of fluoride varnish 114 109 $2K
D0220 Intraoral - periapical first radiographic image 17 16 $295.74