Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SULPHUR SPRINGS CHILDREN'S DENTISTRY

NPI: 1043923337 · SULPHUR SPRINGS, TX 75482 · Dental Clinic/Center · NPI assigned 01/02/2023

$9K
Total Medicaid Paid
571
Total Claims
514
Beneficiaries
9
Codes Billed
2023-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVACULIK, BENNETT (MANAGING PARTNER)
NPI Enumeration Date01/02/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 241 $4K
2024 330 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 75 66 $2K
D1120 69 64 $2K
D1208 132 124 $2K
D0220 97 89 $1K
D0230 94 74 $966.84
D0272 45 41 $909.24
D9230 12 12 $298.21
D0601 31 31 $0.00
D0602 16 13 $0.00