Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › SPOKANE › LATAH CREEK FAMILY DENTISTRY

LATAH CREEK FAMILY DENTISTRY

NPI: 1740690247 · SPOKANE, WA 99224 · Dentist · NPI assigned 05/06/2014

$2K
Total Medicaid Paid
235
Total Claims
214
Beneficiaries
7
Codes Billed
2019-05
First Month
2023-10
Last Month

Provider Details

Authorized OfficialOLMSTEAD, MICHELLE (DOCTOR/OWNER)
NPI Enumeration Date05/06/2014

Related Entities

Other providers sharing the same authorized official: OLMSTEAD, MICHELLE

ProviderCityStateTotal Paid
MICHELLE R OLMSTEAD, DDS, PLLC SPOKANE WA $407K
LIBERTY LAKE FAMILY DENTISTRY LIBERTY LAKE WA $854.27
NORTHPOINTE FAMILY DENTISTRY SPOKANE WA $358.18

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 90 $640.87
2020 89 $1K
2022 29 $174.22
2023 27 $154.91

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 99 94 $701.50
D9440 22 17 $644.16
D0140 Limited oral evaluation - problem focused 26 24 $448.55
D0120 Periodic oral evaluation - established patient 13 13 $256.29
D1208 Topical application of fluoride, excluding varnish 12 12 $156.21
D0274 Bitewings - four radiographic images 12 12 $133.11
D0230 Intraoral - periapical each additional radiographic image 51 42 $94.26