Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › WEST PLAINS › ROCK DENTAL MISSOURI LLC

ROCK DENTAL MISSOURI LLC

NPI: 1972014504 · WEST PLAINS, MO 65775 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/23/2017

$2K
Total Medicaid Paid
280
Total Claims
243
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialDAKE, MARK (OWNER)
NPI Enumeration Date10/23/2017

Related Entities

Other providers sharing the same authorized official: DAKE, MARK

ProviderCityStateTotal Paid
ROCK DENTAL ARKANSAS PLLC HOT SPRINGS AR $129.04M
ROCK DENTAL ALABAMA PLLC HOOVER AL $981.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 126 $644.40
2019 141 $1K
2020 13 $139.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 173 152 $1K
D0120 Periodic oral evaluation - established patient 37 30 $389.11
D1120 Prophylaxis - child 38 31 $351.20
D0272 Bitewings - two radiographic images 18 16 $133.02
D0220 Intraoral - periapical first radiographic image 14 14 $18.60