Medicaid Provider Spending

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

SNAKE RIVER DENTAL INC.

NPI: 1932360674 · PAYETTE, ID 83661 · Dentist · NPI assigned 06/24/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOORE, JAMES controls 11+ related entities in our dataset. Read more

$2K
Total Medicaid Paid
332
Total Claims
332
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-02
Last Month

Provider Details

Authorized OfficialMOORE, JAMES (PRESIDENT/DENTIST)
NPI Enumeration Date06/24/2008

Related Entities

Other providers sharing the same authorized official: MOORE, JAMES

ProviderCityStateTotal Paid
KAAUM ENTERPRISES COLORADO SPRINGS CO $34.28M
SELECT REFERENCE LABORATORIES, LLC GREENSBORO NC $3.02M
OSF LIFELINE AMBULANCE, LLC ROCKFORD IL $1.81M
GENERAL OPTICAL COMPANY BURTON MI $1.57M
JAMES D. MOORE, DDS, PROFESSIONAL LLC DURANGO CO $515K
VALMOOR LLC TOLEDO OH $294K
SELECT LABORATORIES-MARION COUNTY OCALA FL $158K
MOORE VISION INC MCCOMB MS $36K
PARK PLACE SURGERY CENTER, LLC LAFAYETTE LA $33K
HUMBOLDT PHYSICAL THERAPY, INC ARCATA CA $126.26
DOLLAR CAB COMPANY ALAMOGORDO NM $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $0.00
2019 88 $650.54
2020 102 $1K
2021 37 $0.00
2022 26 $0.00
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 39 39 $2K
D1206 Topical application of fluoride varnish 101 101 $13.55
D0120 Periodic oral evaluation - established patient 192 192 $0.00