Medicaid Provider Spending

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

NPI: 1538314372 · LAS VEGAS, NV 89118 · Pediatric Dentist · NPI assigned 11/20/2008

$2K
Total Medicaid Paid
162
Total Claims
136
Beneficiaries
6
Codes Billed
2018-07
First Month
2018-12
Last Month

Provider Details

Authorized OfficialBUI, QUANG (OWNER)
NPI Enumeration Date11/20/2008

Related Entities

Other providers sharing the same authorized official: BUI, QUANG

ProviderCityStateTotal Paid
COCONUT DENTAL PLLC FORT WORTH TX $508K
COCONUT DENTAL DUNCANVILLE PLLC DUNCANVILLE TX $109K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 37 31 $1K
D0120 Periodic oral evaluation - established patient 14 12 $266.48
D0220 Intraoral - periapical first radiographic image 51 39 $190.64
D0272 Bitewings - two radiographic images 12 12 $183.21
D1208 Topical application of fluoride, excluding varnish 20 18 $174.08
D0230 Intraoral - periapical each additional radiographic image 28 24 $106.02