Medicaid Provider Spending

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

VALENTINE DENTAL CLINIC II LLC

NPI: 1689936411 · VALENTINE, NE 69201 · General Practice Dentistry · NPI assigned 06/07/2012

$23K
Total Medicaid Paid
898
Total Claims
880
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialBATTERSHAW, PAM (OFFICE MANAGER)
NPI Enumeration Date06/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $2K
2019 109 $3K
2020 49 $1K
2021 133 $3K
2022 247 $7K
2023 233 $6K
2024 39 $788.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 454 449 $11K
D1206 Topical application of fluoride varnish 277 271 $7K
D1120 Prophylaxis - child 65 65 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19 12 $1K
D0274 Bitewings - four radiographic images 57 57 $1K
D1110 Prophylaxis - adult 26 26 $938.34