Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FLORENCE FAMILY DENTAL

NPI: 1306406350 · FLORENCE, AL 35630 · Dental Clinic/Center · NPI assigned 06/20/2019

$958.95
Total Medicaid Paid
50
Total Claims
39
Beneficiaries
2
Codes Billed
2022-03
First Month
2023-01
Last Month

Provider Details

Authorized OfficialFAWCETT, IAN (OWNER)
NPI Enumeration Date06/20/2019

Related Entities

Other providers sharing the same authorized official: FAWCETT, IAN

ProviderCityStateTotal Paid
HICKORY HILLS DENTAL CARE LLC FLORENCE AL $1.75M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 33 $495.90
2023 17 $463.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 33 24 $495.90
D0330 Panoramic radiographic image 17 15 $463.05