Medicaid Provider Spending

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

MESA DENTAL PLLC

NPI: 1497271068 · MESA, AZ 85206 · Dental Clinic/Center · NPI assigned 08/16/2017

$2K
Total Medicaid Paid
484
Total Claims
357
Beneficiary Records
4
Codes Billed
2023-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialDAVIS, CHASE (OWNER/DENTIST)
NPI Enumeration Date08/16/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 423 $2K
2024 61 $226.77

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0140 Limited oral evaluation - problem focused 142 107 $1K
D0220 Intraoral - periapical first radiographic image 318 226 $745.32
D0150 Comprehensive oral evaluation - new or established patient 12 12 $166.60
D1206 Topical application of fluoride varnish 12 12 $32.91