Medicaid Provider Spending

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

SHAWD DOWNTOWN DENTAL P.C.

NPI: 1801938030 · YANKTON, SD 57078 · General Practice Dentistry · NPI assigned 02/13/2007

$27K
Total Medicaid Paid
1,040
Total Claims
1,040
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAKKE, RYAN (EMPLOYEE DENTIST)
NPI Enumeration Date02/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $2K
2019 43 $906.82
2020 70 $2K
2021 140 $3K
2022 342 $9K
2023 121 $2K
2024 224 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 515 515 $14K
D1206 Topical application of fluoride varnish 375 375 $8K
D1120 Prophylaxis - child 137 137 $4K
D1110 Prophylaxis - adult 13 13 $791.45