Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SOUTH TEXAS DENTAL ASSOCIATES, LP
SOUTH TEXAS DENTAL ASSOCIATES, LP
NPI: 1689015505 · FT WORTH, TX 76114 ·
1223G0001X
$191.10
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
13
$191.10
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1208
13
13
$191.10