Medicaid Provider Spending

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

DENTAL HOUSE OF WASHINGTON, PLC

NPI: 1326538414 · WASHINGTON, IA 52353 · Dentist · NPI assigned 05/14/2018

$2K
Total Medicaid Paid
82
Total Claims
82
Beneficiaries
3
Codes Billed
2019-11
First Month
2020-02
Last Month

Provider Details

Authorized OfficialBATES, TASSANAI (PRESIDENT/OWNER)
NPI Enumeration Date05/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $380.54
2020 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 58 58 $1K
D1110 Prophylaxis - adult 12 12 $495.16
D1120 Prophylaxis - child 12 12 $271.32