Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ESSENTIAL DENTAL CARE
NPI: 1013353630 · GRAND PRAIRIE, TX 75052 ·
122300000X
$436.05
Total Medicaid Paid
40
Total Claims
38
Beneficiaries
3
Codes Billed
2021-10
First Month
2023-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
15
$259.65
2023
25
$176.40
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
15
13
$259.65
D1208
12
12
$176.40
D0602
13
13
$0.00