Medicaid Provider Spending

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

ALPINE FAMILY DENTAL LLC

NPI: 1679786842 · COLCHESTER, VT 05446 · Dental Clinic/Center · NPI assigned 05/07/2007

$64K
Total Medicaid Paid
2,202
Total Claims
2,031
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPITMON, STEPHEN (OWNER)
NPI Enumeration Date05/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 299 $7K
2019 240 $5K
2020 116 $3K
2021 201 $4K
2022 247 $6K
2023 494 $17K
2024 605 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,046 986 $23K
D0120 Periodic oral evaluation - established patient 686 610 $19K
D1110 Prophylaxis - adult 140 133 $8K
D1120 Prophylaxis - child 216 199 $8K
D0274 Bitewings - four radiographic images 100 89 $4K
D4346 14 14 $1K