Medicaid Provider Spending

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

KUNA DENTAL PC

NPI: 1942463187 · KUNA, ID 83634 · General Practice Dentistry · NPI assigned 07/08/2008

$3K
Total Medicaid Paid
303
Total Claims
303
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialCROFT, DOUGLAS (OWNER)
NPI Enumeration Date07/08/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 184 $2K
2019 119 $885.45

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 38 38 $3K
D0120 Periodic oral evaluation - established patient 187 187 $67.90
D0274 Bitewings - four radiographic images 12 12 $43.06
D1206 Topical application of fluoride varnish 13 13 $0.00
D0230 Intraoral - periapical each additional radiographic image 26 26 $0.00
D0220 Intraoral - periapical first radiographic image 27 27 $0.00