Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DECORAH › DENTAL ASSOCIATES OF DECORAH PC

DENTAL ASSOCIATES OF DECORAH PC

NPI: 1760585350 · DECORAH, IA 52101 · General Practice Dentistry · NPI assigned 09/07/2006

$45K
Total Medicaid Paid
1,841
Total Claims
1,733
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKURTH, JUDY (OFFICE MANAGER)
NPI Enumeration Date09/07/2006

Related Entities

Other providers sharing the same authorized official: KURTH, JUDY

ProviderCityStateTotal Paid
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION WAUKON IA $22K
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION MONONA IA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 503 $12K
2019 418 $11K
2020 319 $8K
2021 363 $8K
2022 126 $3K
2023 99 $2K
2024 13 $296.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,078 1,022 $24K
D1110 Prophylaxis - adult 216 201 $8K
D1208 Topical application of fluoride, excluding varnish 361 335 $7K
D1120 Prophylaxis - child 149 138 $5K
D0274 Bitewings - four radiographic images 37 37 $1K