Medicaid Provider Spending

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

ATKINSON FAMILY DENTAL, LLC

NPI: 1700512241 · ATKINSON, NE 68713 · Dental Clinic/Center · NPI assigned 07/27/2022

$13K
Total Medicaid Paid
692
Total Claims
563
Beneficiaries
9
Codes Billed
2022-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOLLOWAY, ELIZABETH (OWNER)
NPI Enumeration Date07/27/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 190 $3K
2023 179 $3K
2024 323 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 102 80 $3K
D1999 273 218 $3K
D0150 Comprehensive oral evaluation - new or established patient 100 96 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 14 $2K
D0120 Periodic oral evaluation - established patient 96 78 $2K
D1206 Topical application of fluoride varnish 41 37 $900.69
D1120 Prophylaxis - child 12 12 $422.04
D0274 Bitewings - four radiographic images 26 12 $205.74
D0220 Intraoral - periapical first radiographic image 20 16 $108.15