Medicaid Provider Spending

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

COWDEN FAMILY DENTAL

NPI: 1841534369 · RIO RANCHO, NM 87144 · Dentist · NPI assigned 11/21/2012

$29K
Total Medicaid Paid
1,111
Total Claims
1,111
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialCOWDEN, JASON (PRESIDENT)
NPI Enumeration Date11/21/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 575 $15K
2019 68 $1K
2020 125 $3K
2021 343 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 248 248 $8K
D1208 Topical application of fluoride, excluding varnish 346 346 $6K
D0150 Comprehensive oral evaluation - new or established patient 156 156 $5K
D0274 Bitewings - four radiographic images 153 153 $4K
D0120 Periodic oral evaluation - established patient 165 165 $4K
D1110 Prophylaxis - adult 43 43 $2K