Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › BOSQUE FARMS › BOSQUE FAMILY AND COSMETIC DENTISTRY LLC

BOSQUE FAMILY AND COSMETIC DENTISTRY LLC

NPI: 1215013610 · BOSQUE FARMS, NM 87068 · Dentist · NPI assigned 10/27/2006

$3K
Total Medicaid Paid
114
Total Claims
114
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-09
Last Month

Provider Details

Authorized OfficialDANIELS, APRIL (MANAGER)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 49 49 $2K
D1208 Topical application of fluoride, excluding varnish 65 65 $1K