Medicaid Provider Spending

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

TERRY FAMILY DENTAL, PC

NPI: 1720386824 · WILLS POINT, TX 75169 · General Practice Dentistry · NPI assigned 03/14/2011

$2K
Total Medicaid Paid
110
Total Claims
94
Beneficiaries
5
Codes Billed
2020-12
First Month
2021-01
Last Month

Provider Details

Authorized OfficialTERRY, RANDELL (OWNER/DENTIST)
NPI Enumeration Date03/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 71 $968.95
2021 39 $552.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 26 25 $692.40
D1208 Topical application of fluoride, excluding varnish 30 29 $411.60
D0230 Intraoral - periapical each additional radiographic image 25 13 $241.11
D0220 Intraoral - periapical first radiographic image 16 14 $175.84
D0601 13 13 $0.00