Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PHOENIX › AHWATUKEE DENTISTRY, PLLC

AHWATUKEE DENTISTRY, PLLC

NPI: 1528256773 · PHOENIX, AZ 85044 · Dentist · NPI assigned 10/11/2007

$646.37
Total Medicaid Paid
51
Total Claims
51
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialLE, TAM (DENTIST)
NPI Enumeration Date10/11/2007

Related Entities

Other providers sharing the same authorized official: LE, TAM

ProviderCityStateTotal Paid
TAM H. LE, MD INC. FOUNTAIN VALLEY CA $165K
TAM T LE OD INC ESCONDIDO CA $52K
LE TAM MD PC COLUSA CA $3K
HAND IN HEART HOME HEALTH INC VENTURA CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $646.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 14 14 $209.93
D1110 Prophylaxis - adult 12 12 $190.24
D0120 Periodic oral evaluation - established patient 13 13 $130.10
D1206 Topical application of fluoride varnish 12 12 $116.10