Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › HOLDREGE › HOLDREGE DENTAL ARTS

HOLDREGE DENTAL ARTS

NPI: 1598426652 · HOLDREGE, NE 68949 · Dental Clinic/Center · NPI assigned 12/31/2021

$14K
Total Medicaid Paid
549
Total Claims
548
Beneficiaries
4
Codes Billed
2022-03
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSMITH, JILL (OWNER)
NPI Enumeration Date12/31/2021

Related Entities

Other providers sharing the same authorized official: SMITH, JILL

ProviderCityStateTotal Paid
JEFFERSON LOCAL SCHOOLS WEST JEFFERSON OH $172K
EASTHAMPTON CHIROPRACTIC CENTER LLC EASTHAMPTON MA $25K
EASTHAMPTON CHIROPRACTIC CENTER LLC EASTHAMPTON MA $23K
MAHENDRA KALRA MD RICHMOND IN $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 378 $9K
2023 171 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 285 284 $7K
D0120 Periodic oral evaluation - established patient 167 167 $4K
D1120 Prophylaxis - child 84 84 $2K
D1110 Prophylaxis - adult 13 13 $462.24