Medicaid Provider Spending

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

BENJAMIN T. KNUTZEN DDS, PC

NPI: 1730380536 · BROOKINGS, SD 57006 · Dental Clinic/Center · NPI assigned 05/30/2007

$23K
Total Medicaid Paid
739
Total Claims
730
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKNUTZEN, BENJAMIN (PRESIDENT)
NPI Enumeration Date05/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $1K
2019 257 $8K
2020 112 $3K
2021 105 $3K
2022 132 $4K
2023 53 $2K
2024 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 505 496 $14K
D1110 Prophylaxis - adult 74 74 $4K
D1206 Topical application of fluoride varnish 93 93 $2K
D1120 Prophylaxis - child 54 54 $2K
D0274 Bitewings - four radiographic images 13 13 $365.73