Medicaid Provider Spending

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

SOUTH DAKOTA DENTAL ASSOCIATES PLLC

NPI: 1871207167 · CANTON, SD 57013 · Dentist · NPI assigned 01/11/2023

$7K
Total Medicaid Paid
211
Total Claims
211
Beneficiaries
2
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialO'NEILL, SHAUN (OWNER)
NPI Enumeration Date01/11/2023

Related Entities

Other providers sharing the same authorized official: O'NEILL, SHAUN

ProviderCityStateTotal Paid
KNX DENTAL ENTERPRISES, LLC KNOXVILLE IA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 129 $4K
2024 82 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 154 154 $6K
D1206 Topical application of fluoride varnish 57 57 $2K