Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEWISVILLE
› 121 DENTAL CARE, PA
121 DENTAL CARE, PA
NPI: 1346483062 · LEWISVILLE, TX 75057 ·
122300000X
$66K
Total Medicaid Paid
3,696
Total Claims
3,606
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
79
$1K
2021
866
$15K
2022
1,255
$26K
2023
993
$16K
2024
503
$8K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
740
737
$21K
D1120
394
393
$14K
D1208
860
857
$12K
D0220
386
383
$5K
D0230
356
339
$4K
D1110
56
56
$3K
D2392
27
13
$2K
D1351
58
13
$2K
D9230
43
40
$1K
D0272
46
46
$1K
D0274
12
12
$380.71
D0603
612
612
$0.00
D0602
106
105
$0.00