Medicaid Provider Spending

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

RANDALL L. WINTER,D.D.S.,P.C.

NPI: 1730480112 · BUFFALO CENTER, IA 50424 · Dentist · NPI assigned 11/16/2010

$3K
Total Medicaid Paid
154
Total Claims
149
Beneficiaries
3
Codes Billed
2018-02
First Month
2021-06
Last Month

Provider Details

Authorized OfficialWINTER, RANDALL (GENERAL DENTIST-CORP. PRESIDENT)
NPI Enumeration Date11/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 130 $2K
2019 12 $196.44
2021 12 $196.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 98 95 $2K
D1120 Prophylaxis - child 26 25 $589.68
D1206 Topical application of fluoride varnish 30 29 $415.57