Medicaid Provider Spending

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

STRATTON DENTAL ARTS

NPI: 1861970006 · RUTLAND, VT 05701 · Dental Clinic/Center · NPI assigned 07/31/2018

$14K
Total Medicaid Paid
486
Total Claims
434
Beneficiaries
4
Codes Billed
2018-09
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCARMACK, TYLER (OWNER/OPERATOR)
NPI Enumeration Date07/31/2018

Related Entities

Other providers sharing the same authorized official: CARMACK, TYLER

ProviderCityStateTotal Paid
SHAFTSBURY DENTAL CENTER PC SHAFTSBURY VT $336K
TACONIC DENTAL ARTS PC RUTLAND VT $87K
BENNINGTON DENTAL CENTER PC BENNINGTON VT $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $3K
2019 30 $843.00
2020 178 $5K
2021 164 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 198 180 $8K
D1206 Topical application of fluoride varnish 165 153 $3K
D0120 Periodic oral evaluation - established patient 106 87 $2K
D1120 Prophylaxis - child 17 14 $442.00