Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › INDIANAPOLIS › MASTERS FAMILY DENTISTRY OF SOUTHPORT

MASTERS FAMILY DENTISTRY OF SOUTHPORT

NPI: 1578836821 · INDIANAPOLIS, IN 46237 · General Practice Dentistry · NPI assigned 02/17/2012

$45.16
Total Medicaid Paid
15
Total Claims
13
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialMASTERS, JACOB (OWNER)
NPI Enumeration Date02/17/2012

Related Entities

Other providers sharing the same authorized official: MASTERS, JACOB

ProviderCityStateTotal Paid
MASTERS FAMILY DENTISTRY LLC GREENWOOD IN $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $45.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 15 13 $45.16