Medicaid Provider Spending

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

M A C T HEALTH BOARD, INCORPORATED

NPI: 1528508488 · SAN ANDREAS, CA 95249 · Dentist · NPI assigned 02/27/2017

$9K
Total Medicaid Paid
86
Total Claims
50
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialALEXANDER, JOHN (EXECUTIVE DIRECTOR)
NPI Enumeration Date02/27/2017

Related Entities

Other providers sharing the same authorized official: ALEXANDER, JOHN

ProviderCityStateTotal Paid
M A C T HEALTH BOARD INCORPORATED SAN ANDREAS CA $108.18M
M A C T HEALTH BOARD INCORPORATED SONORA CA $93K
M A C T HEALTH BOARD, INCORPORATED SAN ANDREAS CA $69K
M A C T HEALTH BOARD INCORPORATED JACKSON CA $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 43 25 $8K
92015 Determination of refractive state 43 25 $158.62