Medicaid Provider Spending

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

CENTER POINT FAMILY DENTISTRY PLLC

NPI: 1902209976 · CENTER POINT, IA 52213 · General Practice Dentistry · NPI assigned 10/03/2014

$3K
Total Medicaid Paid
80
Total Claims
80
Beneficiaries
2
Codes Billed
2019-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHICKEY, TERRA (OWNER/PARTNER)
NPI Enumeration Date10/03/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 24 $643.08
2022 17 $497.90
2023 25 $859.54
2024 14 $557.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 68 68 $2K
D1206 Topical application of fluoride varnish 12 12 $260.08