Medicaid Provider Spending

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

KAPPENMAN DENTAL CLINIC LTD

NPI: 1669607719 · SIOUX FALLS, SD 57106 · General Practice Dentistry · NPI assigned 05/19/2009

$15K
Total Medicaid Paid
391
Total Claims
391
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKAPPENMAN, JAY (DENTIST)
NPI Enumeration Date05/19/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $2K
2022 75 $2K
2023 98 $4K
2024 163 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 248 248 $8K
D1110 Prophylaxis - adult 72 72 $4K
D0274 Bitewings - four radiographic images 31 31 $1K
D1120 Prophylaxis - child 13 13 $668.85
D0220 Intraoral - periapical first radiographic image 27 27 $567.01