Medicaid Provider Spending

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

AFFORDABLE DENTURES & IMPLANTS - MIDWEST CITY, P.C.

NPI: 1356089072 · DEL CITY, OK 73115 · General Practice Dentistry · NPI assigned 05/23/2022

$57K
Total Medicaid Paid
371
Total Claims
78
Beneficiaries
4
Codes Billed
2023-03
First Month
2023-05
Last Month

Provider Details

Authorized OfficialDU, MENG-JU (OWNER)
NPI Enumeration Date05/23/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 371 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 136 30 $18K
D7140 Extraction, erupted tooth or exposed root 205 18 $15K
D5110 18 18 $15K
D5120 12 12 $10K