Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FRESNO › WHOLE SMILES DENTAL HYGIENE PRACTICE OF ASHLEY HAZELTON, RDHAP

WHOLE SMILES DENTAL HYGIENE PRACTICE OF ASHLEY HAZELTON, RDHAP

NPI: 1568141349 · FRESNO, CA 93727 · Dental Hygienist · NPI assigned 07/18/2023

$2K
Total Medicaid Paid
39
Total Claims
39
Beneficiary Records
3
Codes Billed
2024-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHAZELTON, ASHLEY (PRESIDENT)
NPI Enumeration Date07/18/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 39 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 13 13 $630.00
D1310 13 13 $598.00
D1206 Topical application of fluoride varnish 13 13 $409.50