Medicaid Provider Spending

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

KNX DENTAL ENTERPRISES, LLC

NPI: 1619560596 · KNOXVILLE, IA 50138 · General Practice Dentistry · NPI assigned 02/11/2021

$7K
Total Medicaid Paid
439
Total Claims
350
Beneficiaries
5
Codes Billed
2021-03
First Month
2021-09
Last Month

Provider Details

Authorized OfficialO'NEILL, SHAUN (OWNER)
NPI Enumeration Date02/11/2021

Related Entities

Other providers sharing the same authorized official: O'NEILL, SHAUN

ProviderCityStateTotal Paid
SOUTH DAKOTA DENTAL ASSOCIATES PLLC CANTON SD $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 439 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 194 167 $3K
D1110 Prophylaxis - adult 112 86 $2K
D1120 Prophylaxis - child 81 72 $2K
D0274 Bitewings - four radiographic images 24 12 $245.70
D0220 Intraoral - periapical first radiographic image 28 13 $132.99