Medicaid Provider Spending

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

HYGIENE CENTER, LLC

NPI: 1821405069 · RIO RANCHO, NM 87124 · General Practice Dentistry · NPI assigned 07/21/2014

$5K
Total Medicaid Paid
151
Total Claims
150
Beneficiaries
6
Codes Billed
2018-10
First Month
2020-09
Last Month

Provider Details

Authorized OfficialJANKE, GREG (OFFICE MANAGER)
NPI Enumeration Date07/21/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $1K
2019 63 $3K
2020 74 $905.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D4346 28 28 $3K
D1208 Topical application of fluoride, excluding varnish 38 38 $684.19
D9110 12 12 $659.40
D0150 Comprehensive oral evaluation - new or established patient 13 13 $416.29
D0220 Intraoral - periapical first radiographic image 30 30 $342.94
D0230 Intraoral - periapical each additional radiographic image 30 29 $295.84