Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › CORPUS CHRISTI › KDC STAPLES, PLLC

KDC STAPLES, PLLC

NPI: 1659966323 · CORPUS CHRISTI, TX 78411 · Dentist · NPI assigned 03/04/2021

$2K
Total Medicaid Paid
110
Total Claims
109
Beneficiaries
7
Codes Billed
2022-03
First Month
2022-03
Last Month

Provider Details

Authorized OfficialKENNEDY, PAUL (OWNER/DOCTOR)
NPI Enumeration Date03/04/2021

Related Entities

Other providers sharing the same authorized official: KENNEDY, PAUL

ProviderCityStateTotal Paid
SAINTS INCORPORATED WAYNE MI $38.13M
JETTY UNITED PLLC SAN ANTONIO TX $12.00M
PAUL A KENNEDY, JR., D.D.S., INC CORPUS CHRISTI TX $8.29M
SARATOGA SURGICAL CENTER, LLC CORPUS CHRISTI TX $1.77M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 110 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 14 14 $494.48
D1120 Prophylaxis - child 17 17 $480.00
D0272 Bitewings - two radiographic images 12 12 $195.18
D0220 Intraoral - periapical first radiographic image 18 17 $188.96
D1208 Topical application of fluoride, excluding varnish 15 15 $147.00
D0230 Intraoral - periapical each additional radiographic image 14 14 $128.12
D0603 20 20 $0.00