Medicaid Provider Spending

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

WALSH DENTAL HYGIENE LLC

NPI: 1831734748 · WALSH, CO 81090 · Dental Hygienist · NPI assigned 11/14/2019

$81K
Total Medicaid Paid
3,932
Total Claims
3,848
Beneficiaries
8
Codes Billed
2020-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCCALL, KELLY (OWNER, RDH)
NPI Enumeration Date11/14/2019

Related Entities

Other providers sharing the same authorized official: MCCALL, KELLY

ProviderCityStateTotal Paid
KELLY M MCCALL LCSW, PLLC DEPEW NY $165K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 69 $321.44
2021 1,228 $22K
2022 1,138 $21K
2023 964 $18K
2024 533 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,106 1,098 $26K
D1110 Prophylaxis - adult 570 567 $26K
D1206 Topical application of fluoride varnish 783 777 $15K
D0272 Bitewings - two radiographic images 378 374 $8K
D1120 Prophylaxis - child 161 161 $6K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $541.24
D1354 77 16 $439.67
D9996 843 841 $0.00