Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › PRAIRIEVILLE › DENTAL CARE GROUP

DENTAL CARE GROUP

NPI: 1003245226 · PRAIRIEVILLE, LA 70769 · Dental Clinic/Center · NPI assigned 11/07/2013

$15K
Total Medicaid Paid
374
Total Claims
357
Beneficiaries
4
Codes Billed
2018-02
First Month
2019-01
Last Month

Provider Details

Authorized OfficialJORDAN, CATRINEL (DENTIST/ OWNER)
NPI Enumeration Date11/07/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 334 $13K
2019 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 186 183 $8K
D0150 Comprehensive oral evaluation - new or established patient 63 57 $3K
D0120 Periodic oral evaluation - established patient 93 87 $2K
D0210 Intraoral - complete series of radiographic images 32 30 $2K