Medicaid Provider Spending

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

TERRY C BLANKS JR DDS PA

NPI: 1184782518 · DELAND, FL 32720 · General Practice Dentistry · NPI assigned 12/05/2006

$3K
Total Medicaid Paid
172
Total Claims
172
Beneficiaries
7
Codes Billed
2020-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialBLANKS, TERRY (OWNER)
NPI Enumeration Date12/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 172 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1330 47 47 $1K
D1120 Prophylaxis - child 17 17 $733.30
D1110 Prophylaxis - adult 12 12 $433.54
D0150 Comprehensive oral evaluation - new or established patient 12 12 $385.44
D0120 Periodic oral evaluation - established patient 15 15 $338.99
D1208 Topical application of fluoride, excluding varnish 47 47 $87.69
D0272 Bitewings - two radiographic images 22 22 $0.00