Medicaid Provider Spending

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

FORD & DRAPER DENTAL LLC

NPI: 1801004874 · SOUTH OGDEN, UT 84405 · Dental Clinic/Center · NPI assigned 05/21/2007

$11K
Total Medicaid Paid
356
Total Claims
352
Beneficiaries
4
Codes Billed
2021-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFORD, JONATHAN (OWNER)
NPI Enumeration Date05/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 100 $4K
2022 67 $2K
2023 138 $3K
2024 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 122 121 $7K
D1206 Topical application of fluoride varnish 138 137 $2K
D1120 Prophylaxis - child 66 66 $1K
D0220 Intraoral - periapical first radiographic image 30 28 $675.51