Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › NAMPA › NS DOWNTOWN PLLC

NS DOWNTOWN PLLC

NPI: 1669661427 · NAMPA, ID 83651 · Dental Clinic/Center · NPI assigned 10/17/2007

$38K
Total Medicaid Paid
2,198
Total Claims
2,136
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKELLER, KIM (OWNER)
NPI Enumeration Date10/17/2007

Related Entities

Other providers sharing the same authorized official: KELLER, KIM

ProviderCityStateTotal Paid
CLUB 32 DENTAL NAMPA ID $647K
CLUB 32 DENTAL CALDWELL PLLC CALDWELL ID $299K
TALK HEAL THRIVE PSYCHOTHERAPY, PLLC SEATTLE WA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 475 $7K
2022 597 $12K
2023 623 $12K
2024 503 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 457 457 $36K
D1120 Prophylaxis - child 12 12 $922.67
D0274 Bitewings - four radiographic images 145 145 $285.25
D0120 Periodic oral evaluation - established patient 626 624 $258.81
D0220 Intraoral - periapical first radiographic image 525 520 $137.64
D0230 Intraoral - periapical each additional radiographic image 313 258 $0.00
D1206 Topical application of fluoride varnish 120 120 $0.00