Medicaid Provider Spending

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

NPI: 1386129955 · GRAVETTE, AR 72736 · Dental Clinic/Center · NPI assigned 09/30/2018

$2K
Total Medicaid Paid
65
Total Claims
65
Beneficiaries
2
Codes Billed
2019-11
First Month
2022-06
Last Month

Provider Details

Authorized OfficialLAMB, ALAN (OWNER)
NPI Enumeration Date09/30/2018

Related Entities

Other providers sharing the same authorized official: LAMB, ALAN

ProviderCityStateTotal Paid
GENTRY FAMILY DENTISTRY PLLC GENTRY AR $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $292.60
2020 12 $319.20
2021 28 $565.20
2022 13 $345.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 51 51 $1K
D1206 Topical application of fluoride varnish 14 14 $219.40