Medicaid Provider Spending

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

STEPHEN BOLT SERVICES LLC

NPI: 1750521761 · HAMILTON, AL 35570 · General Practice Dentistry · NPI assigned 03/03/2009

$32K
Total Medicaid Paid
1,660
Total Claims
1,418
Beneficiaries
8
Codes Billed
2018-02
First Month
2022-05
Last Month

Provider Details

Authorized OfficialBOLT, STEPHEN (DOCTOR)
NPI Enumeration Date03/03/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240 $4K
2019 398 $9K
2020 304 $6K
2021 594 $10K
2022 124 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 641 524 $11K
D0120 Periodic oral evaluation - established patient 649 613 $11K
D2140 108 47 $4K
D1120 Prophylaxis - child 99 91 $2K
D1110 Prophylaxis - adult 43 42 $1K
D1208 Topical application of fluoride, excluding varnish 84 76 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 23 12 $1K
D0272 Bitewings - two radiographic images 13 13 $207.90