Medicaid Provider Spending

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

PATRICK G DORMAN DDS PC

NPI: 1750604195 · ANCHORAGE, AK 99503 · General Practice Dentistry · NPI assigned 03/11/2010

$3K
Total Medicaid Paid
41
Total Claims
39
Beneficiaries
2
Codes Billed
2019-09
First Month
2023-08
Last Month

Provider Details

Authorized OfficialMULLINS, ZONA (OFFICE MANAGER)
NPI Enumeration Date03/11/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $2K
2023 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 29 27 $2K
D1208 Topical application of fluoride, excluding varnish 12 12 $334.20