Medicaid Provider Spending

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

KYLE HAMMER DDS PLLC

NPI: 1972952265 · DULUTH, MN 55805 · Dental Clinic/Center · NPI assigned 06/07/2016

$14K
Total Medicaid Paid
412
Total Claims
412
Beneficiaries
4
Codes Billed
2020-06
First Month
2023-03
Last Month

Provider Details

Authorized OfficialHAMMER, KYLE (OWNER DENTIST)
NPI Enumeration Date06/07/2016

Related Entities

Other providers sharing the same authorized official: HAMMER, KYLE

ProviderCityStateTotal Paid
WEST RANGE DENTAL PLLC GRAND RAPIDS MN $763.47

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 159 $4K
2021 126 $4K
2022 90 $4K
2023 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 166 166 $8K
D0120 Periodic oral evaluation - established patient 217 217 $6K
D0274 Bitewings - four radiographic images 13 13 $378.75
D9985 16 16 $0.00