Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › NEW PORT RICHEY › FAMILY DENTAL CENTER

FAMILY DENTAL CENTER

NPI: 1568898856 · NEW PORT RICHEY, FL 34653 · Dentist · NPI assigned 09/19/2013

$495.66
Total Medicaid Paid
72
Total Claims
68
Beneficiaries
3
Codes Billed
2022-02
First Month
2022-08
Last Month

Provider Details

Authorized OfficialKHAMBATY, QAYYUM (OWNER)
NPI Enumeration Date09/19/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 72 $495.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $462.96
D1208 Topical application of fluoride, excluding varnish 30 28 $32.70
D1330 30 28 $0.00