Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FAITH FAMILY DENTAL
NPI: 1578085916 · SPRINGDALE, AR 72764 ·
Dentist
· NPI assigned 07/07/2017
$9K
Total Medicaid Paid
346
Total Claims
342
Beneficiaries
4
Codes Billed
2020-12
First Month
2022-10
Last Month
Provider Details
Authorized Official
AGBABLI, AMI
(OWNER)
NPI Enumeration Date
07/07/2017
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
15
$399.00
2021
156
$4K
2022
175
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
202
200
$5K
D1110
Prophylaxis - adult
52
52
$2K
D1206
Topical application of fluoride varnish
79
77
$2K
D0272
Bitewings - two radiographic images
13
13
$321.10