Medicaid Provider Spending

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

PRECIOUS SMILES DENTISTRY, PC

NPI: 1285011882 · ODESSA, TX 79762 · General Practice Dentistry · NPI assigned 05/04/2015

$1K
Total Medicaid Paid
41
Total Claims
41
Beneficiaries
3
Codes Billed
2021-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialCHRISSORNE, RAMEAU (RECEPTIONIST)
NPI Enumeration Date05/04/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 14 14 $514.50
D0120 Periodic oral evaluation - established patient 12 12 $288.50
D1206 Topical application of fluoride varnish 15 15 $220.50