Medicaid Provider Spending

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

SONTERRA FAMILY DENTAL PLLC

NPI: 1043975014 · JARRELL, TX 76537 · General Practice Dentistry · NPI assigned 11/04/2021

$1K
Total Medicaid Paid
165
Total Claims
157
Beneficiaries
3
Codes Billed
2023-02
First Month
2023-10
Last Month

Provider Details

Authorized OfficialKATENDE, ALAN (OWNER)
NPI Enumeration Date11/04/2021

Related Entities

Other providers sharing the same authorized official: KATENDE, ALAN

ProviderCityStateTotal Paid
MUWANGUZI K PLLC HARKER HEIGHTS TX $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 165 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 27 26 $879.47
D1206 Topical application of fluoride varnish 27 26 $366.03
D0603 111 105 $0.00