Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SMILES FOR EAU CLAIRE COUNTY LLC

NPI: 1962874511 · EAU CLAIRE, WI 54701 · Dental Hygienist · NPI assigned 10/22/2015

$28K
Total Medicaid Paid
2,463
Total Claims
2,451
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialPEDERSEN, SARAH (MEMBER)
NPI Enumeration Date10/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,112 $13K
2019 1,026 $11K
2020 325 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,254 1,245 $15K
D0191 1,209 1,206 $13K