Medicaid Provider Spending

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

NPI: 1609246404 · EL DORADO, KS 67042 · General Practice Dentistry · NPI assigned 10/06/2015

$2K
Total Medicaid Paid
124
Total Claims
97
Beneficiaries
2
Codes Billed
2021-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialRASBAND, WILLIAM (DENTIST)
NPI Enumeration Date10/06/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 56 $632.80
2022 68 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 76 55 $1K
D1208 Topical application of fluoride, excluding varnish 48 42 $772.55