Medicaid Provider Spending

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

NPI: 1528480902 · CONWAY, NH 03818 · Dentist · NPI assigned 01/20/2014

$1K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
2
Codes Billed
2018-02
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDUDEVOIR-BADGER, JULIE (CEO)
NPI Enumeration Date01/20/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $432.00
2019 27 $688.00
2021 13 $248.82

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 54 54 $950.82
D1120 Prophylaxis - child 12 12 $418.00