Medicaid Provider Spending

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

NPI: 1902641533 · ABERDEEN, SD 57401 · Dental Clinic/Center · NPI assigned 06/26/2024

$3K
Total Medicaid Paid
75
Total Claims
75
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFETTIG LEDEBOER, ALEAHA (DENTIST/OWNER)
NPI Enumeration Date06/26/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 75 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 39 39 $2K
D1206 Topical application of fluoride varnish 24 24 $782.88
D1120 Prophylaxis - child 12 12 $588.61