Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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 Official
PETTIT, DAVID
(OPERATIONS DIRECTOR)
NPI Enumeration Date
11/11/2020
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
82
$73K
2022
206
$225K
Billing Codes
Code
Description
Claims
Bene. Records
Total Paid
D5110
190
185
$198K
D5120
98
93
$100K