Medicaid Provider Spending

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

VALLEY CREEK FAMILY DENTISTRY

NPI: 1972760098 · WOODBURY, MN 55125 · General Practice Dentistry · NPI assigned 05/16/2008

$1K
Total Medicaid Paid
33
Total Claims
27
Beneficiaries
2
Codes Billed
2023-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialASH, JILL (DENTIST PRESIDENT)
NPI Enumeration Date05/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 33 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 16 13 $684.28
D0120 Periodic oral evaluation - established patient 17 14 $369.64