Medicaid Provider Spending

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

DENNIS GRABER DDS FAMILY DENTISTRY INC.

NPI: 1942325089 · SIOUX FALLS, SD 57105 · General Practice Dentistry · NPI assigned 03/20/2007

$11K
Total Medicaid Paid
203
Total Claims
203
Beneficiaries
6
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRABER, DENNIS (PRESIDENT)
NPI Enumeration Date03/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 203 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 80 80 $6K
D0120 Periodic oral evaluation - established patient 44 44 $2K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $2K
D0274 Bitewings - four radiographic images 27 27 $1K
D1206 Topical application of fluoride varnish 13 13 $391.44
D0220 Intraoral - periapical first radiographic image 12 12 $261.12