Medicaid Provider Spending

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

DENTISTRY FOR CHILDREN LLC

NPI: 1578974721 · MURRAY, UT 84107 · Pediatric Dentist · NPI assigned 05/09/2014

$2K
Total Medicaid Paid
95
Total Claims
92
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialROOKLIDGE, ERIK (PRESIDENT)
NPI Enumeration Date05/09/2014

Related Entities

Other providers sharing the same authorized official: ROOKLIDGE, ERIK

ProviderCityStateTotal Paid
EAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC EAGLE MOUNTAIN UT $117K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 21 21 $2K
D1206 Topical application of fluoride varnish 25 24 $0.00
D0272 Bitewings - two radiographic images 24 23 $0.00
D1120 Prophylaxis - child 25 24 $0.00