Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DR. RYAN DALH, DDS, PC

NPI: 1548715790 · LISBON, ND 58054 · Dental Clinic/Center · NPI assigned 08/17/2016

$4K
Total Medicaid Paid
172
Total Claims
123
Beneficiaries
3
Codes Billed
2018-06
First Month
2024-04
Last Month

Provider Details

Authorized OfficialBERGEMANN, HEATHER (OFFICE MANAGER)
NPI Enumeration Date08/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $351.40
2021 61 $2K
2022 84 $1K
2024 14 $426.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 74 55 $2K
D1120 Prophylaxis - child 42 28 $1K
D1206 Topical application of fluoride varnish 56 40 $986.95