Medicaid Provider Spending

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

FRUITA CANYON DENTAL

NPI: 1972954949 · FRUITA, CO 81521 · Dentist · NPI assigned 06/30/2016

$26K
Total Medicaid Paid
785
Total Claims
782
Beneficiaries
5
Codes Billed
2020-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialSTEGELMEIER, KREHL (DENTIST)
NPI Enumeration Date06/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 196 $6K
2021 248 $9K
2022 173 $6K
2023 168 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 488 486 $13K
D1110 Prophylaxis - adult 247 246 $12K
D1120 Prophylaxis - child 26 26 $1K
D0274 Bitewings - four radiographic images 12 12 $371.20
D1206 Topical application of fluoride varnish 12 12 $272.78