Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › TRAFALGAR › JON HENDRICKSON DDS INC

JON HENDRICKSON DDS INC

NPI: 1558946590 · TRAFALGAR, IN 46181 · Dental Clinic/Center · NPI assigned 03/11/2021

$1K
Total Medicaid Paid
29
Total Claims
27
Beneficiaries
2
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHENDRICKSON, JON (OWNER)
NPI Enumeration Date03/11/2021

Related Entities

Other providers sharing the same authorized official: HENDRICKSON, JON

ProviderCityStateTotal Paid
PEDIATRIC PARTNERS PA FORT SMITH AR $1.72M
JON A. HENDRICKSON, DDS INC. TRAFALGAR IN $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 15 14 $668.72
D1110 Prophylaxis - adult 14 13 $558.45