Medicaid Provider Spending

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

DR. DAVID C CARLSON D.D.S PC

NPI: 1689023129 · TIOGA, ND 58852 · General Practice Dentistry · NPI assigned 06/06/2016

$1K
Total Medicaid Paid
54
Total Claims
49
Beneficiaries
2
Codes Billed
2021-05
First Month
2022-08
Last Month

Provider Details

Authorized OfficialCARLSON, DAVID (DENTIST)
NPI Enumeration Date06/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $650.04
2022 28 $768.29

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 41 37 $1K
D1208 Topical application of fluoride, excluding varnish 13 12 $304.59