Medicaid Provider Spending

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

INFINITY DENTAL PLLC

NPI: 1700241890 · KIMBERLY, ID 83341 · General Practice Dentistry · NPI assigned 12/16/2015

$10K
Total Medicaid Paid
930
Total Claims
851
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialSHEPHERD, TRAVIS (PRESIDENT)
NPI Enumeration Date12/16/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 631 $8K
2019 299 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 90 90 $10K
D0120 Periodic oral evaluation - established patient 146 145 $96.01
D1206 Topical application of fluoride varnish 191 190 $13.55
D0220 Intraoral - periapical first radiographic image 222 219 $0.00
D0274 Bitewings - four radiographic images 67 67 $0.00
D0230 Intraoral - periapical each additional radiographic image 214 140 $0.00