Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.

NPI: 1760658439 · SAC CITY, IA 50583 · General Practice Dentistry · NPI assigned 05/02/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more

$393K
Total Medicaid Paid
17,053
Total Claims
12,712
Beneficiaries
17
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSKOGLUND, CHARLES (OWNER)
NPI Enumeration Date05/02/2008

Related Entities

Other providers sharing the same authorized official: SKOGLUND, CHARLES

ProviderCityStateTotal Paid
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C. STORM LAKE IA $323K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C. GRAND ISLAND NE $191K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C. SIOUX CITY IA $171K
FAMILY FIRST DENTAL ASSOCIATES OF IOWA, P.C. SIOUX CITY IA $167K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C. LE MARS IA $163K
FAMILY FIRST DENTAL ASSOCIATES OF COLUMBUS, P.C. COLUMBUS NE $123K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C. HAWARDEN IA $115K
FAMILY FIRST DENTALASSOCCIATES OF WEST POINT, P.C. FREMONT NE $63K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C. ONAWA IA $59K
FAMILY FIRST DENTAL OF PRIMGHAR, P.C. LAKE CITY IA $46K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C. SOUTH SIOUX CITY NE $42K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C. HARTINGTON NE $40K
FAMILY FIRST DENTAL ASSOCIATES OF HICKMAN, P.C. HICKMAN NE $31K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C. WAYNE NE $15K
FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C. LAKE VIEW IA $14K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, PC NORFOLK NE $7K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, P.C. NORFOLK NE $1K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C. DAKOTA CITY NE $218.25

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,680 $42K
2019 4,442 $107K
2020 2,941 $71K
2021 2,748 $61K
2022 2,563 $69K
2023 1,679 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,906 1,757 $65K
D0120 Periodic oral evaluation - established patient 3,433 3,150 $57K
D1206 Topical application of fluoride varnish 3,951 3,601 $56K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 767 409 $50K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,029 482 $47K
D1120 Prophylaxis - child 1,577 1,403 $38K
D1351 Sealant - per tooth 2,012 391 $35K
D0274 Bitewings - four radiographic images 930 867 $21K
D1353 1,062 319 $16K
D0272 Bitewings - two radiographic images 142 119 $2K
D0330 Panoramic radiographic image 64 58 $2K
D0150 Comprehensive oral evaluation - new or established patient 78 63 $1K
D4910 27 27 $1K
D0140 Limited oral evaluation - problem focused 35 29 $657.28
D4346 14 13 $568.95
D0210 Intraoral - complete series of radiographic images 13 12 $520.93
D0220 Intraoral - periapical first radiographic image 13 12 $134.66