Medicaid Provider Spending

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

TRAVIS J. BJORDAHL, DDS, PLLC

NPI: 1518425552 · MILBANK, SD 57252 · Dental Clinic/Center · NPI assigned 03/08/2019

$51K
Total Medicaid Paid
1,450
Total Claims
1,430
Beneficiaries
5
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBJORDAHL, TRAVIS (OWNER)
NPI Enumeration Date03/08/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 123 $4K
2022 438 $14K
2023 393 $13K
2024 496 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 638 624 $21K
D1110 Prophylaxis - adult 254 253 $14K
D1206 Topical application of fluoride varnish 435 432 $11K
D1120 Prophylaxis - child 110 108 $5K
D0274 Bitewings - four radiographic images 13 13 $609.60