Medicaid Provider Spending

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

BRADLEY JORDAN DDS, PLLC

NPI: 1861869265 · BROOKINGS, SD 57006 · Dental Clinic/Center · NPI assigned 09/01/2015

$3K
Total Medicaid Paid
77
Total Claims
77
Beneficiaries
3
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJORDAN, BRADLEY (OWNER)
NPI Enumeration Date09/01/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 77 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 39 39 $2K
D1208 Topical application of fluoride, excluding varnish 26 26 $840.72
D0150 Comprehensive oral evaluation - new or established patient 12 12 $754.04