Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › GRAND PRAIRIE › AFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC

AFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC

NPI: 1134737919 · GRAND PRAIRIE, TX 75052 · General Practice Dentistry · NPI assigned 07/17/2020

$683.85
Total Medicaid Paid
107
Total Claims
100
Beneficiaries
2
Codes Billed
2024-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBARTOLOMEI, NINA (MANAGER)
NPI Enumeration Date07/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 107 $683.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 24 24 $683.85
D0603 83 76 $0.00