Medicaid Provider Spending

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

VAUGHAN FAMILY DENTISTRY, PC

NPI: 1063025336 · ARDMORE, TN 38449 · General Practice Dentistry · NPI assigned 08/26/2020

$9K
Total Medicaid Paid
423
Total Claims
393
Beneficiaries
5
Codes Billed
2020-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialVAUGHAN, MATTHEW (OWNER)
NPI Enumeration Date08/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $350.00
2021 177 $4K
2022 109 $3K
2023 123 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 225 209 $4K
D1110 Prophylaxis - adult 64 60 $2K
D1206 Topical application of fluoride varnish 74 68 $2K
D0274 Bitewings - four radiographic images 48 44 $1K
D1120 Prophylaxis - child 12 12 $323.40