Medicaid Provider Spending

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

UNKENHOLZ FAMILY DENTAL, PROF LLC

NPI: 1952149395 · RAPID CITY, SD 57701 · Dental Clinic/Center · NPI assigned 07/18/2024

$3K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialUNKENHOLZ, ERIC (DENTIST / OWNER)
Parent OrganizationUNKENHOLZ FAMILY DENTAL
NPI Enumeration Date07/18/2024

Related Entities

Other providers sharing the same authorized official: UNKENHOLZ, ERIC

ProviderCityStateTotal Paid
UNKENHOLZ FAMILY DENTAL, PROF LLC RAPID CITY SD $63K
UNKENHOLZ OMAHA ST DENTAL LLC RAPID CITY SD $649.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 66 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 40 40 $2K
D1110 Prophylaxis - adult 12 12 $863.40
D1206 Topical application of fluoride varnish 14 14 $456.68