Medicaid Provider Spending

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

SPANN, CARLA

NPI: 1215248323 · ALLEN, TX 75002 · General Practice Dentistry · NPI assigned 06/24/2010

$3K
Total Medicaid Paid
291
Total Claims
254
Beneficiaries
8
Codes Billed
2020-12
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $0.00
2021 277 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 30 30 $865.50
D1208 Topical application of fluoride, excluding varnish 48 47 $617.40
D0230 Intraoral - periapical each additional radiographic image 62 29 $610.03
D1120 Prophylaxis - child 14 14 $441.00
D0220 Intraoral - periapical first radiographic image 30 30 $339.12
D0272 Bitewings - two radiographic images 12 12 $257.18
D0603 78 75 $0.00
D1330 17 17 $0.00