Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › WHBOUTIQUE INC.

WHBOUTIQUE INC.

NPI: 1164770335 · DALLAS, TX 75203 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/20/2012

$4K
Total Medicaid Paid
112
Total Claims
100
Beneficiaries
1
Codes Billed
2020-12
First Month
2023-12
Last Month

Provider Details

Authorized OfficialJONES, VICKI (OWNER / MANAGER)
NPI Enumeration Date08/20/2012

Related Entities

Other providers sharing the same authorized official: JONES, VICKI

ProviderCityStateTotal Paid
WHBOUTIQUE INC. LONGVIEW TX $252K
WHBOUTIQUE INC. DALLAS TX $1K
WHBOUTIQUE INC. TYLER TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $334.88
2021 35 $1K
2022 50 $2K
2023 13 $471.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 112 100 $4K