Medicaid Provider Spending

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

JOHN J BLACK DDS, INC.

NPI: 1760847123 · CORTEZ, CO 81321 · General Practice Dentistry · NPI assigned 12/29/2015

$43K
Total Medicaid Paid
457
Total Claims
127
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialBLACK, JOHN (DIRECTOR)
NPI Enumeration Date12/29/2015

Related Entities

Other providers sharing the same authorized official: BLACK, JOHN

ProviderCityStateTotal Paid
USD #402 AUGUSTA KS $376K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 457 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 431 101 $42K
D0330 Panoramic radiographic image 13 13 $647.14
D0140 Limited oral evaluation - problem focused 13 13 $422.37