Medicaid Provider Spending

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

PHAM, TIFFANY

NPI: 1619460193 · LEWISVILLE, TX 75077 · Dentist · NPI assigned 06/11/2018

$41K
Total Medicaid Paid
1,006
Total Claims
568
Beneficiaries
8
Codes Billed
2021-07
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 41 $132.30
2023 19 $0.00
2024 946 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 426 64 $29K
D0210 Intraoral - complete series of radiographic images 86 75 $5K
D0150 Comprehensive oral evaluation - new or established patient 104 90 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 81 67 $2K
D1120 Prophylaxis - child 41 34 $1K
D1208 Topical application of fluoride, excluding varnish 66 57 $705.60
D1330 34 29 $330.75
D0603 168 152 $0.00