Medicaid Provider Spending

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

NPI: 1528374337 · WEST JORDAN, UT 84084 · Periodontist · NPI assigned 08/31/2010

$278.72
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2023-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialJOHANSEN, R (DOCTOR)
NPI Enumeration Date08/31/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $278.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 13 13 $278.72