Medicaid Provider Spending

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

WAVERLY FAMILY DENTISTRY LLC

NPI: 1679730154 · WAVERLY, IA 50677 · Dentist · NPI assigned 05/21/2008

$1K
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
2
Codes Billed
2021-07
First Month
2022-05
Last Month

Provider Details

Authorized OfficialYOUNG, ALAN (DOCTOR)
NPI Enumeration Date05/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 25 $837.14
2022 12 $306.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 25 25 $804.30
D1208 Topical application of fluoride, excluding varnish 12 12 $339.24