Medicaid Provider Spending

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

NPI: 1285119057 · BUDA, TX 78610 · General Practice Dentistry · NPI assigned 09/27/2018

$3K
Total Medicaid Paid
277
Total Claims
267
Beneficiaries
3
Codes Billed
2021-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSWAMI, PAVITHRA (OWNER)
NPI Enumeration Date09/27/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $147.00
2022 26 $0.00
2023 144 $1K
2024 95 $979.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 83 80 $2K
D1208 Topical application of fluoride, excluding varnish 24 24 $323.40
D0603 170 163 $27.10