Medicaid Provider Spending

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

JAMES RIVER DENTISTRY, P.C.

NPI: 1588876759 · NEW ROCKFORD, ND 58356 · General Practice Dentistry · NPI assigned 05/03/2007

$12K
Total Medicaid Paid
368
Total Claims
364
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCUDWORTH, ROBERT (PARTNER)
NPI Enumeration Date05/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $1K
2019 12 $136.00
2020 70 $2K
2021 76 $2K
2022 110 $4K
2023 30 $1K
2024 27 $821.68

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 172 168 $5K
D0274 Bitewings - four radiographic images 60 60 $2K
D1206 Topical application of fluoride varnish 83 83 $2K
D1110 Prophylaxis - adult 25 25 $1K
D1120 Prophylaxis - child 28 28 $1K