Medicaid Provider Spending

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

APPLEWHITE DENTAL IOWA PC

NPI: 1770143596 · NEWTON, IA 50208 · Dentist · NPI assigned 06/14/2019

$11K
Total Medicaid Paid
452
Total Claims
433
Beneficiaries
6
Codes Billed
2021-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialLOSO, SHARON (CREDENTIALING SPECIALIST)
Parent OrganizationAPPLEWHITE DENTAL IOWA PC
NPI Enumeration Date06/14/2019

Related Entities

Other providers sharing the same authorized official: LOSO, SHARON

ProviderCityStateTotal Paid
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $3.34M
APPLEWHITE DENTAL IOWA PC MANCHESTER IA $173K
APPLEWHITE DENTAL MINNESOTA, P.C. WORTHINGTON MN $118K
APPLEWHITE DENTAL IOWA PC FORT DODGE IA $51K
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $11K
APPLEWHITE DENTAL PARTNERS SPENCER IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 310 $6K
2022 142 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 116 116 $4K
D0120 Periodic oral evaluation - established patient 191 186 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 21 14 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 12 $1K
D1206 Topical application of fluoride varnish 95 92 $1K
D0274 Bitewings - four radiographic images 13 13 $384.60