Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MEDICAL CENTER DENTAL, LLC
NPI: 1285903047 · PENDLETON, OR 97801 ·
General Practice Dentistry
· NPI assigned 12/23/2011
$0.00
Total Medicaid Paid
36
Total Claims
36
Beneficiaries
2
Codes Billed
2018-09
First Month
2019-10
Last Month
Provider Details
Authorized Official
WALKER, JASON
(OWNER)
NPI Enumeration Date
12/23/2011
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
12
$0.00
2019
24
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0191
24
24
$0.00
D1330
12
12
$0.00