Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEALTHY FAMILIES DENTAL CLINIC, P.L.L.C.

NPI: 1447568746 · HENNESSEY, OK 73742 · Dentist · NPI assigned 09/21/2010

$12K
Total Medicaid Paid
607
Total Claims
607
Beneficiary Records
4
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialFERRELL, ANNA (OWNER/DENTIST)
NPI Enumeration Date09/21/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 607 $12K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 143 143 $4K
D0120 Periodic oral evaluation - established patient 204 204 $4K
D1208 Topical application of fluoride, excluding varnish 233 233 $3K
D0272 Bitewings - two radiographic images 27 27 $456.84