Medicaid Provider Spending

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

BLAIR FAMILY DENTISTRY LLC

NPI: 1609251396 · BLAIR, NE 68008 · Dental Clinic/Center · NPI assigned 07/23/2015

$17K
Total Medicaid Paid
949
Total Claims
923
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOYD, RYAN (DENTIST)
NPI Enumeration Date07/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 127 $3K
2019 118 $3K
2020 184 $4K
2021 334 $5K
2022 143 $2K
2024 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 465 464 $10K
D1999 354 330 $3K
D1206 Topical application of fluoride varnish 61 60 $2K
D1120 Prophylaxis - child 45 45 $1K
D1110 Prophylaxis - adult 24 24 $872.16