Medicaid Provider Spending

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

PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC

NPI: 1093329534 · TYLER, TX 75703 · General Practice Dentistry

$6K

Total Medicaid Paid

479

Total Claims

443

Beneficiaries

9

Codes Billed

2021-12

First Month

2022-03

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	108	$157.11
2022	371	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		63	58	$2K
D1206		104	96	$867.30
D0274		47	40	$827.18
D0120		50	46	$778.95
D1120		20	19	$661.50
D0220		85	80	$487.32
D0230		54	50	$276.24
D0602		13	12	$0.00
D0603		43	42	$0.00