Medicaid Provider Spending

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

LIFESMILES DENTAL LLC

NPI: 1578893632 · FERGUS FALLS, MN 56537 · General Practice Dentistry · NPI assigned 01/12/2010

$1K
Total Medicaid Paid
86
Total Claims
84
Beneficiaries
2
Codes Billed
2020-09
First Month
2021-11
Last Month

Provider Details

Authorized OfficialMCROBERTS, JAMI (OFFICE MANAGER)
NPI Enumeration Date01/12/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 54 $905.99
2021 32 $491.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 44 43 $799.60
D1206 Topical application of fluoride varnish 42 41 $598.01