Medicaid Provider Spending

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

NPI: 1417633348 · JEFFERSONVILLE, IN 47130 · Pediatric Dentist · NPI assigned 06/26/2023

$2K
Total Medicaid Paid
66
Total Claims
66
Beneficiaries
2
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAUTISTA, PHILIPPE (OWNER)
NPI Enumeration Date06/26/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 38 38 $1K
D1206 Topical application of fluoride varnish 28 28 $556.25