Medicaid Provider Spending

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

R.C. ENTERPRISE, P.L.L.C.

NPI: 1699117440 · POST FALLS, ID 83854 · Dentist · NPI assigned 07/22/2013

$6K
Total Medicaid Paid
553
Total Claims
553
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialBURNHAM, RHEANNA (OWNER)
NPI Enumeration Date07/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 402 $5K
2019 94 $0.00
2021 12 $0.00
2022 45 $984.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 72 72 $6K
D0274 Bitewings - four radiographic images 157 157 $61.46
D0120 Periodic oral evaluation - established patient 269 269 $0.00
D1208 Topical application of fluoride, excluding varnish 55 55 $0.00