Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PFLUGERVILLE
› WOODS, LARESEA
WOODS, LARESEA
NPI: 1568777654 · PFLUGERVILLE, TX 78660 ·
Dentist
· NPI assigned 08/12/2010
$1K
Total Medicaid Paid
44
Total Claims
44
Beneficiaries
2
Codes Billed
2018-04
First Month
2018-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
44
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
Prophylaxis - child
23
23
$830.30
D1206
Topical application of fluoride varnish
21
21
$418.95