Medicaid Provider Spending

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

PORTER DENTAL HEALTH CLINIC, PA

NPI: 1558567552 · HOT SPRINGS, AR 71901 · General Practice Dentistry · NPI assigned 06/26/2007

$7K
Total Medicaid Paid
324
Total Claims
324
Beneficiaries
4
Codes Billed
2022-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialYAHODA, JANE (BUSINESS ASSISTANT)
NPI Enumeration Date06/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 80 $2K
2023 175 $4K
2024 69 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 145 145 $4K
D1206 Topical application of fluoride varnish 114 114 $2K
D0272 Bitewings - two radiographic images 52 52 $1K
D1120 Prophylaxis - child 13 13 $433.20