Medicaid Provider Spending

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

NPI: 1528015328 · MAQUOKETA, IA 52060 · Dentist · NPI assigned 05/27/2006

$25K
Total Medicaid Paid
1,355
Total Claims
1,305
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialATIENZA, SALVADOR (PRESIDENT)
NPI Enumeration Date05/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 204 $3K
2019 167 $3K
2020 252 $3K
2021 148 $3K
2022 187 $4K
2023 232 $5K
2024 165 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 844 823 $17K
D1206 Topical application of fluoride varnish 281 261 $5K
D1120 Prophylaxis - child 142 136 $4K
D1999 88 85 $0.00