Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › BROUSSARD › MELANCON FAMILY DENTISTRY LLC

MELANCON FAMILY DENTISTRY LLC

NPI: 1063759736 · BROUSSARD, LA 70518 · Dental Clinic/Center · NPI assigned 01/14/2013

$1K
Total Medicaid Paid
34
Total Claims
30
Beneficiaries
2
Codes Billed
2021-02
First Month
2021-02
Last Month

Provider Details

Authorized OfficialMELANCON, MATTHEW (OWNER/DENTIST)
NPI Enumeration Date01/14/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 34 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 18 16 $720.15
D0120 Periodic oral evaluation - established patient 16 14 $381.36