Medicaid Provider Spending

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

UNKENHOLZ FAMILY DENTAL, PROF LLC

NPI: 1578986808 · RAPID CITY, SD 57701 · General Practice Dentistry · NPI assigned 01/22/2014

$63K
Total Medicaid Paid
1,692
Total Claims
1,673
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialUNKENHOLZ, ERIC (PRESIDENT)
NPI Enumeration Date01/22/2014

Related Entities

Other providers sharing the same authorized official: UNKENHOLZ, ERIC

ProviderCityStateTotal Paid
UNKENHOLZ FAMILY DENTAL, PROF LLC RAPID CITY SD $3K
UNKENHOLZ OMAHA ST DENTAL LLC RAPID CITY SD $649.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 205 $6K
2019 29 $772.56
2020 55 $1K
2021 212 $6K
2022 373 $14K
2023 365 $13K
2024 453 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,026 1,014 $31K
D1110 Prophylaxis - adult 423 418 $25K
D1206 Topical application of fluoride varnish 176 174 $4K
D0274 Bitewings - four radiographic images 55 55 $2K
D1120 Prophylaxis - child 12 12 $484.10