Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WAUKON › NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION

NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION

NPI: 1720173990 · WAUKON, IA 52172 · General Practice Dentistry · NPI assigned 10/04/2006

$22K
Total Medicaid Paid
979
Total Claims
959
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKURTH, JUDY (OFFICE MANAGER)
Parent OrganizationNORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: KURTH, JUDY

ProviderCityStateTotal Paid
DENTAL ASSOCIATES OF DECORAH PC DECORAH IA $45K
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION MONONA IA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 290 $6K
2019 119 $3K
2020 246 $5K
2021 43 $1K
2022 58 $2K
2023 138 $3K
2024 85 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 453 445 $11K
D1206 Topical application of fluoride varnish 405 398 $8K
D1120 Prophylaxis - child 105 102 $3K
D1110 Prophylaxis - adult 16 14 $599.40