Medicaid Provider Spending

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

STARK AND JOHNSON LLC

NPI: 1811648363 · LINCOLN, NE 68516 · Pediatric Dentist · NPI assigned 01/17/2022

$56K
Total Medicaid Paid
1,762
Total Claims
1,760
Beneficiaries
5
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWALL, JENNI (INSURANCE AND BILLING MANAGER)
Parent OrganizationSTARK AND JOHNSON LLC
NPI Enumeration Date01/17/2022

Related Entities

Other providers sharing the same authorized official: WALL, JENNI

ProviderCityStateTotal Paid
STARK AND JOHNSON LLC LINCOLN NE $12.96M
STARK AND JOHNSON LLC LINCOLN NE $43K
STARK AND JOHNSON LLC LINCOLN NE $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,762 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 577 576 $21K
D1206 Topical application of fluoride varnish 567 566 $16K
D0120 Periodic oral evaluation - established patient 361 361 $12K
D0272 Bitewings - two radiographic images 213 213 $4K
D0145 Oral evaluation for a patient under three years of age 44 44 $2K