Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SAUK RAPIDS › WILCOX FAMILY DENTISTRY

WILCOX FAMILY DENTISTRY

NPI: 1710546502 · SAUK RAPIDS, MN 56379 · Dental Clinic/Center · NPI assigned 06/06/2019

$5K
Total Medicaid Paid
166
Total Claims
166
Beneficiaries
2
Codes Billed
2019-12
First Month
2022-12
Last Month

Provider Details

Authorized OfficialWILCOX, ANDREW (OWNER/DENTIST)
NPI Enumeration Date06/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $325.29
2020 53 $1K
2021 72 $2K
2022 26 $981.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 66 66 $2K
D0120 Periodic oral evaluation - established patient 100 100 $2K