Medicaid Provider Spending

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

SUSAN L ROYER DDS PROFESSIONAL CORPORATION

NPI: 1700295771 · CROWN POINT, IN 46307 · Dental Clinic/Center · NPI assigned 08/04/2014

$13K
Total Medicaid Paid
346
Total Claims
324
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialROYER, SUSAN (OWNER/CEO)
NPI Enumeration Date08/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $298.04
2021 43 $1K
2022 55 $2K
2023 155 $6K
2024 81 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 146 134 $8K
D0120 Periodic oral evaluation - established patient 173 165 $4K
D0274 Bitewings - four radiographic images 15 13 $629.53
D1206 Topical application of fluoride varnish 12 12 $244.75