Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › REXBURG › CROFOOT, BO

CROFOOT, BO

NPI: 1669532230 · REXBURG, ID 83440 · General Practice Dentistry · NPI assigned 12/12/2006

$741.54
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2022-02
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 27 $741.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $741.54
D0120 Periodic oral evaluation - established patient 15 15 $0.00