Medicaid Provider Spending

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

SCHAACK FAMILY DENTISTRY, P.C.

NPI: 1720129398 · RAPID CITY, SD 57701 · General Practice Dentistry · NPI assigned 02/08/2007

$10K
Total Medicaid Paid
347
Total Claims
346
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSCHAACK, JON (PRESIDENT)
NPI Enumeration Date02/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $2K
2019 54 $1K
2020 26 $671.52
2021 12 $345.12
2022 106 $3K
2023 30 $613.22
2024 50 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 223 222 $6K
D1206 Topical application of fluoride varnish 65 65 $2K
D1110 Prophylaxis - adult 28 28 $1K
D1120 Prophylaxis - child 31 31 $1K