Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › MARION › INDIAN CREEK DENTAL

INDIAN CREEK DENTAL

NPI: 1578823423 · MARION, IA 52302 · General Practice Dentistry · NPI assigned 05/25/2012

$16K
Total Medicaid Paid
787
Total Claims
744
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialWALKER, JAMES (OWNER/DENTIST)
NPI Enumeration Date05/25/2012

Related Entities

Other providers sharing the same authorized official: WALKER, JAMES

ProviderCityStateTotal Paid
SHOALS HOSPICE LLC FLORENCE AL $3.01M
JAMES D WALKER II MD MEDICAL ARTS, PLLC GRAND BLANC MI $122K
RICHMOND RAMPS, INC QUINTON VA $46K
JAMES H. WALKER,III DBA SANDY SPRINGS FAMILY PRACTICE PENDLETON SC $801.54
SETON MEDICAL MANAGEMENT INC. MOBILE AL $692.95
LIMESTONE NURSING AND REHABILITATION CENTER LLC ATHENS AL $531.52
OPTIMUM INC. HOUSTON TX $0.00
J WALKER ENTERPRISES LLC LIVONIA LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 787 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 270 251 $5K
D1110 Prophylaxis - adult 104 101 $3K
D1206 Topical application of fluoride varnish 218 204 $3K
D1120 Prophylaxis - child 118 111 $3K
D0274 Bitewings - four radiographic images 44 44 $1K
D0140 Limited oral evaluation - problem focused 17 17 $436.96
D0220 Intraoral - periapical first radiographic image 16 16 $160.69