Medicaid Provider Spending

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

CLIFFORD OLGUIN DENTAL CARE

NPI: 1750629333 · LYMAN, WY 82937 · Dentist · NPI assigned 01/16/2013

$11K
Total Medicaid Paid
374
Total Claims
368
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCLIFFORD-OLGUIN, ZANNA (DENTSIT)
NPI Enumeration Date01/16/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $2K
2019 94 $3K
2020 28 $896.00
2021 37 $1K
2022 117 $3K
2023 14 $546.00
2024 13 $468.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 255 253 $8K
D1206 Topical application of fluoride varnish 75 74 $2K
D1110 Prophylaxis - adult 15 12 $507.50
D1120 Prophylaxis - child 12 12 $420.00
D0272 Bitewings - two radiographic images 17 17 $360.00