Medicaid Provider Spending

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

C E PITTMAN DDS, PC

NPI: 1023345691 · MAGNOLIA, TX 77354 · Pediatric Dentist · NPI assigned 11/03/2009

$3K
Total Medicaid Paid
104
Total Claims
104
Beneficiaries
3
Codes Billed
2018-07
First Month
2019-07
Last Month

Provider Details

Authorized OfficialPITTMAN, CARL (PRESIDENT)
NPI Enumeration Date11/03/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $580.65
2019 80 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 45 45 $2K
D1208 Topical application of fluoride, excluding varnish 45 45 $661.50
D0120 Periodic oral evaluation - established patient 14 14 $403.90