Medicaid Provider Spending

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

NPI: 1780851972 · INDIANOLA, IA 50125 · General Practice Dentistry · NPI assigned 05/15/2008

$2K
Total Medicaid Paid
65
Total Claims
65
Beneficiaries
1
Codes Billed
2018-03
First Month
2019-08
Last Month

Provider Details

Authorized OfficialJACOBSEN, GARY (PRESIDENT)
NPI Enumeration Date05/15/2008

Related Entities

Other providers sharing the same authorized official: JACOBSEN, GARY

ProviderCityStateTotal Paid
GLENDIVE EYECARE GLENDIVE MT $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $896.65
2019 30 $913.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 65 65 $2K