Medicaid Provider Spending

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

TERRY L. MALCOLM, DDS, PC

NPI: 1962516781 · FALLS CITY, NE 68355 · Dental Clinic/Center · NPI assigned 08/18/2006

$4K
Total Medicaid Paid
270
Total Claims
260
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMALCOLM, TERRY (OWNER/PRESIDENT)
NPI Enumeration Date08/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45 $990.00
2019 46 $934.20
2020 38 $683.96
2021 37 $370.05
2022 90 $900.00
2023 14 $140.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 101 101 $2K
D1999 155 145 $2K
D0274 Bitewings - four radiographic images 14 14 $228.00