Medicaid Provider Spending

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

WIND CITY DENTAL

NPI: 1992141527 · CASPER, WY 82609 · General Practice Dentistry · NPI assigned 05/22/2013

$1K
Total Medicaid Paid
33
Total Claims
33
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-04
Last Month

Provider Details

Authorized OfficialWARING, JESSI (OWNER)
NPI Enumeration Date05/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 19 19 $608.00
D1206 Topical application of fluoride varnish 14 14 $490.00