Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › SIOUX FALLS › SHAWD NEIGHBORHOOD DENTAL CLINIC P.C.

SHAWD NEIGHBORHOOD DENTAL CLINIC P.C.

NPI: 1528226958 · SIOUX FALLS, SD 57105 · General Practice Dentistry · NPI assigned 06/02/2008

$3K
Total Medicaid Paid
142
Total Claims
142
Beneficiaries
3
Codes Billed
2019-05
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSHAWD, NICHOLAS (OWNER)
NPI Enumeration Date06/02/2008

Related Entities

Other providers sharing the same authorized official: SHAWD, NICHOLAS

ProviderCityStateTotal Paid
NICHOLAS J. SHAWD D.D.S., P.C. TEA SD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $257.18
2020 14 $116.40
2021 65 $2K
2022 26 $559.95
2024 25 $396.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 83 83 $2K
D1206 Topical application of fluoride varnish 44 44 $700.15
D1120 Prophylaxis - child 15 15 $553.98