Medicaid Provider Spending

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

BRIAN K PROUTY DDS, PC

NPI: 1548480965 · WATERTOWN, SD 57201 · Dentist · NPI assigned 04/26/2007

$52K
Total Medicaid Paid
1,463
Total Claims
1,459
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialPROUTY, BRIAN (OWNER)
NPI Enumeration Date04/26/2007

Related Entities

Other providers sharing the same authorized official: PROUTY, BRIAN

ProviderCityStateTotal Paid
EMBRACE 212 LLC WATERTOWN SD $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 656 $23K
2019 81 $3K
2020 56 $2K
2021 109 $4K
2022 321 $12K
2023 240 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 510 510 $26K
D0120 Periodic oral evaluation - established patient 716 712 $19K
D0274 Bitewings - four radiographic images 81 81 $3K
D1208 Topical application of fluoride, excluding varnish 106 106 $2K
D1120 Prophylaxis - child 25 25 $955.50
D0220 Intraoral - periapical first radiographic image 25 25 $351.11