Medicaid Provider Spending

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

JANET L BOYES PC

NPI: 1699151993 · SPIRIT LAKE, IA 51360 · Dentist · NPI assigned 08/10/2015

$29K
Total Medicaid Paid
1,031
Total Claims
1,015
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialBOYES, JANET (DENTIST)
NPI Enumeration Date08/10/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 676 $20K
2019 355 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 413 411 $15K
D0120 Periodic oral evaluation - established patient 421 420 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 37 24 $3K
D0274 Bitewings - four radiographic images 98 98 $2K
D1206 Topical application of fluoride varnish 25 25 $553.02
D0220 Intraoral - periapical first radiographic image 37 37 $377.21