Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BRAZIL › BRAZIL FAMILY DENTISTRY, LLC

BRAZIL FAMILY DENTISTRY, LLC

NPI: 1902649304 · BRAZIL, IN 47834 · Dentist · NPI assigned 06/14/2024

$19K
Total Medicaid Paid
424
Total Claims
421
Beneficiaries
5
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSS, RYAN (OWNER)
NPI Enumeration Date06/14/2024

Related Entities

Other providers sharing the same authorized official: ROSS, RYAN

ProviderCityStateTotal Paid
ROSS DENTAL, INC. BILLINGS MT $42K
GADC PLLC BILLINGS MT $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 424 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 117 116 $7K
D0330 Panoramic radiographic image 63 63 $4K
D0150 Comprehensive oral evaluation - new or established patient 65 65 $3K
D0120 Periodic oral evaluation - established patient 95 94 $3K
D1206 Topical application of fluoride varnish 84 83 $2K