Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › WHBOUTIQUE INC.

WHBOUTIQUE INC.

NPI: 1396078507 · DALLAS, TX 75231 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/08/2009

$1K
Total Medicaid Paid
44
Total Claims
42
Beneficiaries
1
Codes Billed
2020-12
First Month
2022-12
Last Month

Provider Details

Authorized OfficialJONES, VICKI (OWNER)
NPI Enumeration Date09/08/2009

Related Entities

Other providers sharing the same authorized official: JONES, VICKI

ProviderCityStateTotal Paid
WHBOUTIQUE INC. LONGVIEW TX $252K
WHBOUTIQUE INC. DALLAS TX $4K
WHBOUTIQUE INC. TYLER TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $583.65
2021 17 $358.93
2022 13 $379.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 44 42 $1K