Medicaid Provider Spending

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

RIDGE DENTAL GROUP PLLC

NPI: 1972263739 · WYNNE, AR 72396 · Dental Clinic/Center · NPI assigned 12/21/2021

$90K
Total Medicaid Paid
3,876
Total Claims
3,745
Beneficiaries
10
Codes Billed
2022-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialVANHOUTEN- GRUBBS, KELLI (PARTNER)
NPI Enumeration Date12/21/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 984 $23K
2023 1,530 $36K
2024 1,362 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 487 477 $22K
D0120 Periodic oral evaluation - established patient 818 799 $21K
D1208 Topical application of fluoride, excluding varnish 871 854 $17K
D0220 Intraoral - periapical first radiographic image 593 573 $10K
D1120 Prophylaxis - child 183 176 $6K
D0272 Bitewings - two radiographic images 272 262 $6K
D0230 Intraoral - periapical each additional radiographic image 427 398 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 116 98 $3K
D0274 Bitewings - four radiographic images 74 74 $2K
D0602 35 34 $60.00