Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › ROANOKE › IDEAL DENTAL OF ROANOKE PLLC

IDEAL DENTAL OF ROANOKE PLLC

NPI: 1306225529 · ROANOKE, TX 76262 · Dentist · NPI assigned 05/20/2015

$100.48
Total Medicaid Paid
25
Total Claims
25
Beneficiary Records
2
Codes Billed
2023-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialPATEL, SHALIN (OWNER)
NPI Enumeration Date05/20/2015

Related Entities

Other providers sharing the same authorized official: PATEL, SHALIN

ProviderCityStateTotal Paid
MILESTONE DENTAL, PLLC ARLINGTON TX $285.69
IDEAL DENTAL OF CLIFFORD CROSSING PLLC FORT WORTH TX $132.30
IDEAL DENTAL OF MANSFIELD PLLC DALLAS TX $117.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $100.48

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0220 Intraoral - periapical first radiographic image 12 12 $100.48
D0350 13 13 $0.00