Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT STOCKTON › BOON DENTAL ALLIANCE P.A.

BOON DENTAL ALLIANCE P.A.

NPI: 1306065693 · FORT STOCKTON, TX 79735 · Prosthodontist · NPI assigned 04/24/2007

$340.44
Total Medicaid Paid
15
Total Claims
12
Beneficiaries
1
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialTHAMMASITHIBOON, PRASITH (OWNER)
NPI Enumeration Date04/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 15 $340.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 15 12 $340.44