Medicaid Provider Spending

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

JOHN CLAY DDS, PLC

NPI: 1619338365 · FORT DODGE, IA 50501 · General Practice Dentistry · NPI assigned 03/09/2016

$9K
Total Medicaid Paid
397
Total Claims
377
Beneficiaries
4
Codes Billed
2018-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCLAY, JOHN (OWNER/DENTIST)
NPI Enumeration Date03/09/2016

Related Entities

Other providers sharing the same authorized official: CLAY, JOHN

ProviderCityStateTotal Paid
J & S DENTAL ENTERPRISES PLC SPIRIT LAKE IA $56K
C & O DENTAL ENTERPRISES PLC SANBORN IA $718.39
C & O DENTAL ENTERPRISES PLC LAURENS IA $506.63

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 117 $2K
2019 148 $3K
2020 82 $2K
2021 38 $1K
2024 12 $398.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 225 216 $5K
D1120 Prophylaxis - child 84 79 $2K
D1208 Topical application of fluoride, excluding varnish 74 69 $1K
D1110 Prophylaxis - adult 14 13 $522.54