Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DRS. HERMAN & MACK PC

NPI: 1578670691 · DEVILS LAKE, ND 58301 · General Practice Dentistry · NPI assigned 08/24/2006

$26K
Total Medicaid Paid
907
Total Claims
880
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHERMAN, ROLLIN (PRESIDENT/OWNER)
NPI Enumeration Date08/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168 $5K
2019 25 $580.46
2020 150 $4K
2021 182 $5K
2022 109 $3K
2023 179 $6K
2024 94 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 491 474 $14K
D1208 Topical application of fluoride, excluding varnish 346 339 $8K
D1110 Prophylaxis - adult 55 52 $4K
D1120 Prophylaxis - child 15 15 $562.65