Medicaid Provider Spending

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

STEPHEN C FUTRELL DDS PA

NPI: 1124205646 · JACKSONVILLE, NC 28546 · Dentist · NPI assigned 01/28/2008

$3K
Total Medicaid Paid
157
Total Claims
157
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialFUTRELL, TAMMY (CORPORATE SECRETARY)
NPI Enumeration Date01/28/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $1K
2019 94 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 74 74 $2K
D1206 Topical application of fluoride varnish 56 56 $867.87
D1120 Prophylaxis - child 27 27 $739.96