Medicaid Provider Spending

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

PROCTOR FAMILY DENTAL

NPI: 1043054554 · BARDSTOWN, KY 40004 · Dental Clinic/Center · NPI assigned 06/20/2024

$1K
Total Medicaid Paid
164
Total Claims
50
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPROCTOR, SARAH (OWNER)
NPI Enumeration Date06/20/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 164 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 37 21 $702.00
D0230 Intraoral - periapical each additional radiographic image 100 14 $405.00
D0220 Intraoral - periapical first radiographic image 27 15 $168.00