Medicaid Provider Spending

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

ERIC D KYRK DDS PC

NPI: 1568650471 · HARRAH, OK 73045 · Dental Clinic/Center · NPI assigned 10/05/2007

$2K
Total Medicaid Paid
103
Total Claims
103
Beneficiaries
4
Codes Billed
2018-07
First Month
2020-07
Last Month

Provider Details

Authorized OfficialKYRK, ERIC (PRESIDENT)
NPI Enumeration Date10/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $517.90
2019 26 $650.66
2020 41 $707.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 28 28 $742.20
D0120 Periodic oral evaluation - established patient 39 39 $682.11
D1208 Topical application of fluoride, excluding varnish 24 24 $314.60
D1206 Topical application of fluoride varnish 12 12 $137.16