Medicaid Provider Spending

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

NPI: 1740694504 · CRESTED BUTTE, CO 81224 · Dentist · NPI assigned 06/19/2014

$4K
Total Medicaid Paid
111
Total Claims
110
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialSIEGRIST, ROXANNE (DENTIST)
NPI Enumeration Date06/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $357.12
2019 40 $1K
2020 59 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 40 39 $2K
D1120 Prophylaxis - child 32 32 $1K
D0120 Periodic oral evaluation - established patient 39 39 $1K