Medicaid Provider Spending

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

MEADOWLARK DENTAL CARE PLLC

NPI: 1841648227 · MISSOULA, MT 59801 · Dentist · NPI assigned 05/26/2016

$3K
Total Medicaid Paid
149
Total Claims
129
Beneficiaries
2
Codes Billed
2018-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialLARSON, CYRUS (PRESIDENT)
NPI Enumeration Date05/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $275.28
2019 34 $599.44
2020 49 $754.03
2021 42 $916.92
2022 12 $340.86

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 131 117 $3K
D1206 Topical application of fluoride varnish 18 12 $195.11