Medicaid Provider Spending

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

NORTHCREEK DENTAL, PC

NPI: 1902203854 · HANKINSON, ND 58041 · Dental Clinic/Center · NPI assigned 11/20/2014

$8K
Total Medicaid Paid
352
Total Claims
281
Beneficiaries
3
Codes Billed
2023-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSCHAFFER, DAWN (BUSINESS MANAGER)
NPI Enumeration Date11/20/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 192 $4K
2024 160 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 191 143 $4K
D1206 Topical application of fluoride varnish 148 125 $3K
D1120 Prophylaxis - child 13 13 $572.52