Medicaid Provider Spending

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

FIRST IMPRESSIONS DENTURE STUDIO

NPI: 1992307367 · PORTLAND, OR 97232 · Denturist · NPI assigned 11/11/2020

$298K
Total Medicaid Paid
288
Total Claims
278
Beneficiary Records
2
Codes Billed
2021-04
First Month
2022-09
Last Month

Provider Details

Authorized OfficialPETTIT, DAVID (OPERATIONS DIRECTOR)
NPI Enumeration Date11/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 82 $73K
2022 206 $225K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D5110 190 185 $198K
D5120 98 93 $100K