Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SAM BASS FAMILY DENTISTRY PLLC
SAM BASS FAMILY DENTISTRY PLLC
NPI: 1063809820 · ROUND ROCK, TX 78681 ·
261QD0000X
$45K
Total Medicaid Paid
3,825
Total Claims
2,833
Beneficiaries
10
Codes Billed
2021-03
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
1,157
$14K
2022
1,154
$13K
2023
952
$11K
2024
562
$8K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0230
1,293
478
$11K
D0120
314
286
$8K
D1208
441
412
$6K
D0220
536
492
$5K
D0274
194
178
$5K
D1120
142
130
$4K
D1110
51
50
$3K
D0350
180
165
$2K
D1999
35
30
$0.00
D0602
639
612
$0.00