Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BURLESON › PRODIGIOUS DENTAL PC

PRODIGIOUS DENTAL PC

NPI: 1124593066 · BURLESON, TX 76028 · 1223G0001X

$48K
Total Medicaid Paid
2,128
Total Claims
1,741
Beneficiaries
13
Codes Billed
2020-09
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 124 $2K
2021 590 $11K
2022 659 $19K
2023 501 $9K
2024 254 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 216 65 $14K
D1110 270 236 $12K
D0120 258 213 $5K
D0150 172 148 $5K
D1208 427 361 $5K
D0274 172 153 $4K
D1120 57 51 $1K
D0272 44 42 $862.72
D0330 15 13 $474.25
D0602 348 327 $71.00
D0601 32 30 $5.00
D0603 103 88 $0.00
D1330 14 14 $0.00