Medicaid Provider Spending

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

MCCASLAND

NPI: 1396286837 · LEVELLAND, TX 79336 · General Practice Dentistry · NPI assigned 03/16/2017

$4K
Total Medicaid Paid
358
Total Claims
338
Beneficiaries
4
Codes Billed
2020-12
First Month
2023-02
Last Month

Provider Details

Authorized OfficialTIENDA, MISTI (OFFICE MANAGER)
NPI Enumeration Date03/16/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 59 $960.91
2021 127 $1K
2022 158 $2K
2023 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 53 $2K
D1120 Prophylaxis - child 43 41 $1K
D1208 Topical application of fluoride, excluding varnish 82 80 $1K
D0601 178 164 $0.00