Medicaid Provider Spending

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

RAPID CITY DENTAL CLINIC

NPI: 1962054643 · RAPID CITY, SD 57702 · Dental Clinic/Center · NPI assigned 07/12/2019

$6K
Total Medicaid Paid
143
Total Claims
57
Beneficiaries
3
Codes Billed
2023-02
First Month
2023-08
Last Month

Provider Details

Authorized OfficialTEESLINK, CHRIS (OFFICE MANAGER)
NPI Enumeration Date07/12/2019

Related Entities

Other providers sharing the same authorized official: TEESLINK, CHRIS

ProviderCityStateTotal Paid
DAKOTA DENTAL 4 KIDS RAPID CITY SD $7.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 143 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 99 13 $4K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $1K
D0274 Bitewings - four radiographic images 15 15 $720.75