Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
ND
›
BISMARCK
› PRAIRIE ROSE FAMILY DENTISTS
PRAIRIE ROSE FAMILY DENTISTS
NPI: 1689117830 · BISMARCK, ND 58503 ·
122300000X
$126K
Total Medicaid Paid
4,317
Total Claims
4,081
Beneficiaries
8
Codes Billed
2018-06
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
970
$26K
2019
903
$26K
2020
709
$21K
2021
669
$22K
2022
441
$14K
2023
366
$11K
2024
259
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
1,299
1,257
$47K
D0120
1,341
1,270
$37K
D1206
1,329
1,279
$31K
D0272
145
144
$4K
D2392
33
15
$4K
D9230
93
89
$3K
D1351
62
12
$1K
D0150
15
15
$0.00