Medicaid Provider Spending

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

PAHLON, KALI

NPI: 1265161186 · COMMERCE, TX 75428 · General Practice Dentistry · NPI assigned 06/07/2022

$2K
Total Medicaid Paid
130
Total Claims
129
Beneficiaries
6
Codes Billed
2023-06
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 130 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 17 17 $624.75
D0120 Periodic oral evaluation - established patient 21 21 $605.85
D1208 Topical application of fluoride, excluding varnish 21 21 $308.70
D0220 Intraoral - periapical first radiographic image 23 23 $263.76
D0230 Intraoral - periapical each additional radiographic image 20 19 $230.20
D0603 28 28 $0.00