Medicaid Provider Spending

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

NPI: 1821525288 · SOUTH JORDAN, UT 84009 · Pediatric Dentist · NPI assigned 05/17/2017

$5K
Total Medicaid Paid
206
Total Claims
206
Beneficiaries
4
Codes Billed
2018-02
First Month
2018-07
Last Month

Provider Details

Authorized OfficialOJEDA, CHRISTINA (MANAGER)
NPI Enumeration Date05/17/2017

Related Entities

Other providers sharing the same authorized official: OJEDA, CHRISTINA

ProviderCityStateTotal Paid
WELCH VANBIBBER HAUGHT DDS PC PORT ANGELES WA $2.92M
JUSTIN VANBIBBER II DDS PC LONGVIEW WA $1.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 76 76 $2K
D0120 Periodic oral evaluation - established patient 48 48 $2K
D1206 Topical application of fluoride varnish 68 68 $806.65
D0272 Bitewings - two radiographic images 14 14 $90.98