Medicaid Provider Spending

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

COMFORT DENTAL OF CLINTON

NPI: 1578864088 · CLINTON, UT 84015 · General Practice Dentistry · NPI assigned 11/15/2010

$10K
Total Medicaid Paid
225
Total Claims
225
Beneficiaries
4
Codes Billed
2019-05
First Month
2020-08
Last Month

Provider Details

Authorized OfficialRORING, JOHN (MANAGER)
NPI Enumeration Date11/15/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 80 $4K
2020 145 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 98 98 $10K
D1206 Topical application of fluoride varnish 77 77 $173.26
D1120 Prophylaxis - child 29 29 $0.00
D0274 Bitewings - four radiographic images 21 21 $0.00