Medicaid Provider Spending

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

KEY CENTER FAMILY DENTISTRY PLLC

NPI: 1558890319 · LAKEBAY, WA 98349 · Dentist · NPI assigned 06/06/2017

$3K
Total Medicaid Paid
178
Total Claims
156
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialCOZBY, MATTHEW (OWNER)
NPI Enumeration Date06/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 84 $1K
2019 42 $780.32
2020 33 $420.00
2021 19 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 99 91 $2K
D1999 52 38 $420.00
D1120 Prophylaxis - child 13 13 $275.76
D1206 Topical application of fluoride varnish 14 14 $184.57