Medicaid Provider Spending

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

APPLEWHITE DENTAL IOWA PC

NPI: 1891355616 · FORT DODGE, IA 50501 · Dentist · NPI assigned 06/14/2019

$51K
Total Medicaid Paid
2,618
Total Claims
2,564
Beneficiaries
8
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOSO, SHARON (CREDENTIALING SPECIALIST)
Parent OrganizationAPPLEWHITE DENTAL IOWA PC
NPI Enumeration Date06/14/2019

Related Entities

Other providers sharing the same authorized official: LOSO, SHARON

ProviderCityStateTotal Paid
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $3.34M
APPLEWHITE DENTAL IOWA PC MANCHESTER IA $173K
APPLEWHITE DENTAL MINNESOTA, P.C. WORTHINGTON MN $118K
APPLEWHITE DENTAL IOWA PC NEWTON IA $11K
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $11K
APPLEWHITE DENTAL PARTNERS SPENCER IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 402 $7K
2022 806 $15K
2023 804 $17K
2024 606 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 720 710 $14K
D1206 Topical application of fluoride varnish 1,009 984 $14K
D1110 Prophylaxis - adult 362 358 $13K
D0274 Bitewings - four radiographic images 370 358 $7K
D1120 Prophylaxis - child 74 72 $2K
D0150 Comprehensive oral evaluation - new or established patient 31 31 $756.48
D0220 Intraoral - periapical first radiographic image 40 39 $387.01
D0330 Panoramic radiographic image 12 12 $187.90