Medicaid Provider Spending

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

BRILLIANT SMILES DENTAL HYGIENE LLC

NPI: 1558768929 · PAONIA, CO 81428 · Dental Hygienist · NPI assigned 12/01/2014

$20K
Total Medicaid Paid
775
Total Claims
732
Beneficiaries
5
Codes Billed
2018-02
First Month
2023-08
Last Month

Provider Details

Authorized OfficialKENDALL, JENNIFER (OWNER)
NPI Enumeration Date12/01/2014

Related Entities

Other providers sharing the same authorized official: KENDALL, JENNIFER

ProviderCityStateTotal Paid
HEARTWOOD CENTER FOR CHILD AND FAMILY THERAPY, LLC HIBBING MN $734K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 238 $7K
2019 136 $4K
2021 114 $2K
2022 217 $6K
2023 70 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 395 393 $9K
D1110 Prophylaxis - adult 200 198 $8K
D1206 Topical application of fluoride varnish 110 110 $2K
D1354 58 19 $324.80
D0220 Intraoral - periapical first radiographic image 12 12 $145.68