Medicaid Provider Spending

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

HANQUIST, CHANCY

NPI: 1669086252 · AURORA, NE 68818 · Dentist · NPI assigned 09/02/2020

$5K
Total Medicaid Paid
200
Total Claims
200
Beneficiaries
5
Codes Billed
2021-02
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 151 $3K
2022 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 115 115 $3K
D1120 Prophylaxis - child 44 44 $1K
D1206 Topical application of fluoride varnish 13 13 $314.76
D0330 Panoramic radiographic image 16 16 $299.60
D1208 Topical application of fluoride, excluding varnish 12 12 $227.30