Medicaid Provider Spending

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

DEMARCO DENTAL PRACTICE,P.C.

NPI: 1851643019 · WINDSOR HEIGHTS, IA 50324 · Dentist · NPI assigned 10/11/2012

$29K
Total Medicaid Paid
1,322
Total Claims
1,290
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialDODDS, MICHELLE (OFFICE MANAGER)
NPI Enumeration Date10/11/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 502 $11K
2019 362 $8K
2020 304 $6K
2021 154 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 452 438 $15K
D0120 Periodic oral evaluation - established patient 638 623 $10K
D1206 Topical application of fluoride varnish 204 201 $3K
D0274 Bitewings - four radiographic images 28 28 $653.83