Medicaid Provider Spending

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

NPI: 1518720911 · KETCHIKAN, AK 99901 · General Practice Dentistry · NPI assigned 01/30/2024

$3K
Total Medicaid Paid
41
Total Claims
40
Beneficiaries
2
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZYLSTRA, TANNER (OWNER)
NPI Enumeration Date01/30/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 41 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 28 27 $2K
D0120 Periodic oral evaluation - established patient 13 13 $635.18