Medicaid Provider Spending

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

FRUCHEY DENTAL, PLLC

NPI: 1487300612 · LITTLE ROCK, AR 72223 · Dental Clinic/Center · NPI assigned 02/25/2022

$13K
Total Medicaid Paid
430
Total Claims
429
Beneficiary Records
4
Codes Billed
2022-05
First Month
2024-07
Last Month

Provider Details

Authorized OfficialFRUCHEY, LUKE (DENTIST)
NPI Enumeration Date02/25/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 173 $5K
2023 231 $7K
2024 26 $673.60

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 159 159 $7K
D0120 Periodic oral evaluation - established patient 228 227 $5K
D1206 Topical application of fluoride varnish 30 30 $538.65
D0272 Bitewings - two radiographic images 13 13 $286.40