Medicaid Provider Spending

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

QKT ENTERPRISES PLLC

NPI: 1114302510 · CYPRESS, TX 77433 · Dentist · NPI assigned 07/27/2015

$7K
Total Medicaid Paid
420
Total Claims
368
Beneficiaries
7
Codes Billed
2020-12
First Month
2021-03
Last Month

Provider Details

Authorized OfficialVO, KELLY (PRESIDENT)
NPI Enumeration Date07/27/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 69 $1K
2021 351 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 71 69 $2K
D1120 Prophylaxis - child 43 41 $1K
D0230 Intraoral - periapical each additional radiographic image 109 68 $1K
D1208 Topical application of fluoride, excluding varnish 78 75 $1K
D0220 Intraoral - periapical first radiographic image 72 69 $841.27
D0274 Bitewings - four radiographic images 15 15 $449.93
D0602 32 31 $0.00