Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT WORTH › IDEAL DENTAL OF CLIFFORD CROSSING PLLC

IDEAL DENTAL OF CLIFFORD CROSSING PLLC

NPI: 1497209373 · FORT WORTH, TX 76108 · Dentist · NPI assigned 08/09/2016

$132.30
Total Medicaid Paid
12
Total Claims
12
Beneficiary Records
1
Codes Billed
2023-08
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPATEL, SHALIN (OWNER)
NPI Enumeration Date08/09/2016

Related Entities

Other providers sharing the same authorized official: PATEL, SHALIN

ProviderCityStateTotal Paid
MILESTONE DENTAL, PLLC ARLINGTON TX $285.69
IDEAL DENTAL OF MANSFIELD PLLC DALLAS TX $117.60
IDEAL DENTAL OF ROANOKE PLLC ROANOKE TX $100.48

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $132.30

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1206 Topical application of fluoride varnish 12 12 $132.30