Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOLD DENTAL PARTNERS PLLC

NPI: 1619311198 · FAYETTEVILLE, AR 72701 · Dentist · NPI assigned 04/26/2013

$4K
Total Medicaid Paid
134
Total Claims
133
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialBOLDING, SCOTT (OWNER)
NPI Enumeration Date04/26/2013

Related Entities

Other providers sharing the same authorized official: BOLDING, SCOTT

ProviderCityStateTotal Paid
PRECIDENT FLORIDA PLLC SAINT PETERSBURG FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 80 79 $2K
D1110 Prophylaxis - adult 27 27 $1K
D1206 Topical application of fluoride varnish 27 27 $538.65