Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PORT ST LUCIE › AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.

AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.

NPI: 1295194579 · PORT ST LUCIE, FL 34952 · Dentist · NPI assigned 02/16/2016

$895.08
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2020-02
First Month
2020-02
Last Month

Provider Details

Authorized OfficialFENTON, DANIEL (DMD/PRACTICE OWNER)
NPI Enumeration Date02/16/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $895.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 13 13 $895.08
D0330 Panoramic radiographic image 13 13 $0.00