Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › TWIN FALLS › SUMMIT DENTAL CARE GROUP, PLLC

SUMMIT DENTAL CARE GROUP, PLLC

NPI: 1871753608 · TWIN FALLS, ID 83301 · General Practice Dentistry · NPI assigned 06/16/2008

$1K
Total Medicaid Paid
185
Total Claims
185
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialFRAME, ALISA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date06/16/2008

Related Entities

Other providers sharing the same authorized official: FRAME, ALISA

ProviderCityStateTotal Paid
SUMMIT DENTAL CARE PAUL, PLLC PAUL ID $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 185 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 27 27 $1K
D0120 Periodic oral evaluation - established patient 92 92 $69.43
D1206 Topical application of fluoride varnish 66 66 $0.00