Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › KANSAS CITY › VALUDENTAL GLADSTONE FERGUSON DDS

VALUDENTAL GLADSTONE FERGUSON DDS

NPI: 1003361791 · KANSAS CITY, MO 64118 · General Practice Dentistry · NPI assigned 08/23/2016

$6K
Total Medicaid Paid
165
Total Claims
159
Beneficiary Records
4
Codes Billed
2020-07
First Month
2024-06
Last Month

Provider Details

Authorized OfficialFERGUSON, DAVID (OWNER)
NPI Enumeration Date08/23/2016

Related Entities

Other providers sharing the same authorized official: FERGUSON, DAVID

ProviderCityStateTotal Paid
ATHOME MEDICAL INC MORRIS PLAINS NJ $18.03M
ATHOME MEDICAL INC. SOUTH HACKENSACK NJ $5.45M
SHAVE DENTAL PLLC SAN ANTONIO TX $917K
VALUDENTAL PLLC SAN ANTONIO TX $787K
VALUDENTAL 2 PLLC SAN ANTONIO TX $99K
ALTERNATE GROUP CARE, INC SOUTHWEST RANCHES FL $56K
VALUDENTAL SAN PEDRO LLC SAN ANTONIO TX $33K
CELEBRACES SAN PEDRO LLC SAN ANTONIO TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $1K
2021 42 $671.38
2022 12 $285.27
2023 45 $2K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0274 Bitewings - four radiographic images 83 79 $2K
D1110 Prophylaxis - adult 40 38 $2K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $1K
D0330 Panoramic radiographic image 14 14 $554.64