Medicaid Provider Spending

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

HIAWATHA FAMILY DENTISTRY

NPI: 1700116340 · HIAWATHA, KS 66434 · Dental Clinic/Center · NPI assigned 01/04/2010

$29K
Total Medicaid Paid
1,226
Total Claims
1,183
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialGEISENDORF, WILLIAM (OWNER/DOCTOR)
NPI Enumeration Date01/04/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $11K
2019 160 $4K
2021 181 $4K
2022 304 $8K
2023 120 $3K
2024 13 $315.38

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 631 606 $13K
D1110 Prophylaxis - adult 263 251 $10K
D1206 Topical application of fluoride varnish 255 249 $4K
D1120 Prophylaxis - child 77 77 $2K