Medicaid Provider Spending

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

BLACKFOOT FAMILY DENTISTRY PLLC

NPI: 1578958252 · BLACKFOOT, ID 83221 · Dentist · NPI assigned 03/31/2015

$3K
Total Medicaid Paid
167
Total Claims
167
Beneficiaries
5
Codes Billed
2018-06
First Month
2021-06
Last Month

Provider Details

Authorized OfficialBALDWIN, CADE (DOCTOR)
NPI Enumeration Date03/31/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116 $2K
2020 13 $0.00
2021 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 27 27 $2K
D1120 Prophylaxis - child 14 14 $1K
D0272 Bitewings - two radiographic images 12 12 $0.00
D0120 Periodic oral evaluation - established patient 67 67 $0.00
D1208 Topical application of fluoride, excluding varnish 47 47 $0.00