Medicaid Provider Spending

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

CARSON FAMILY DENTISTRY, PROF LLC

NPI: 1598011561 · SPRINGFIELD, SD 57062 · Dental Clinic/Center · NPI assigned 07/27/2012

$23K
Total Medicaid Paid
619
Total Claims
608
Beneficiaries
6
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, CL;ARENCE (OWNER, DENTIST)
NPI Enumeration Date07/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 210 $7K
2023 191 $7K
2024 218 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 197 189 $8K
D1206 Topical application of fluoride varnish 230 228 $6K
D1120 Prophylaxis - child 125 124 $6K
D1110 Prophylaxis - adult 40 40 $3K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $619.98
D0272 Bitewings - two radiographic images 13 13 $390.00