Medicaid Provider Spending

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

APD - TACACHALE

NPI: 1275771560 · GAINESVILLE, FL 32609 · Dentist · NPI assigned 01/26/2009

$23K
Total Medicaid Paid
409
Total Claims
382
Beneficiaries
4
Codes Billed
2019-11
First Month
2022-04
Last Month

Provider Details

Authorized OfficialTHOMAS, DON (SUPERINTENDENT)
NPI Enumeration Date01/26/2009

Related Entities

Other providers sharing the same authorized official: THOMAS, DON

ProviderCityStateTotal Paid
SPANISH FORK CITY CORPORATION SPANISH FORK UT $1.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 111 $7K
2020 86 $11K
2021 137 $4K
2022 75 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 159 146 $9K
D0120 Periodic oral evaluation - established patient 110 103 $6K
D0150 Comprehensive oral evaluation - new or established patient 18 17 $5K
D1110 Prophylaxis - adult 122 116 $3K