Medicaid Provider Spending

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

TUBA CITY REGIONAL HEALTH CARE CORPORATION

NPI: 1528241395 · TUBA CITY, AZ 86045 · General Practice Dentistry · NPI assigned 12/14/2007

$13K
Total Medicaid Paid
939
Total Claims
749
Beneficiaries
7
Codes Billed
2020-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialENGELKEN, JOSEPH (CEO)
NPI Enumeration Date12/14/2007

Related Entities

Other providers sharing the same authorized official: ENGELKEN, JOSEPH

ProviderCityStateTotal Paid
TUBA CITY REGIONAL HEALTH CARE CORPORATION TUBA CITY AZ $738K
TUBA CITY REGIONAL HEALTH CARE CORPORATION TUBA CITY AZ $151K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 772 $12K
2021 167 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 231 216 $5K
D1351 Sealant - per tooth 182 27 $4K
D1120 Prophylaxis - child 48 48 $2K
D0120 Periodic oral evaluation - established patient 52 52 $1K
D0274 Bitewings - four radiographic images 30 30 $904.50
D1330 63 63 $0.00
D0512 333 313 $0.00