Medicaid Provider Spending

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

NPI: 1134774219 · TROY, AL 36079 · General Practice Dentistry · NPI assigned 08/06/2019

$563.00
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2024-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBLACKMON, KENNETH (SOLE MEMBER)
NPI Enumeration Date08/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 25 $563.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 12 12 $310.00
D1208 Topical application of fluoride, excluding varnish 13 13 $253.00