Medicaid Provider Spending

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

KEVIN M. DONLIN, D.M.D., P.C.

NPI: 1821430430 · MADISON, SD 57042 · General Practice Dentistry · NPI assigned 07/24/2013

$81K
Total Medicaid Paid
2,548
Total Claims
2,494
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDONLIN, KEVIN (PRESIDENT)
NPI Enumeration Date07/24/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 510 $15K
2019 52 $1K
2021 230 $7K
2022 709 $23K
2023 589 $16K
2024 458 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 756 741 $23K
D1120 Prophylaxis - child 570 556 $22K
D1206 Topical application of fluoride varnish 752 740 $17K
D1110 Prophylaxis - adult 196 191 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 208 200 $8K
D0272 Bitewings - two radiographic images 28 28 $722.25
D0274 Bitewings - four radiographic images 12 12 $558.80
D0150 Comprehensive oral evaluation - new or established patient 14 14 $551.79
D0220 Intraoral - periapical first radiographic image 12 12 $214.92