Medicaid Provider Spending

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

NPI: 1790829398 · SPEARFISH, SD 57783 · General Practice Dentistry · NPI assigned 02/16/2007

$2K
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
2
Codes Billed
2018-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialCROSSWAIT, ROBERT (PRESIDENT)
NPI Enumeration Date02/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $639.36
2019 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 26 26 $1K
D0120 Periodic oral evaluation - established patient 13 13 $366.72