Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › PEARLAND › TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY

TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY

NPI: 1730550161 · PEARLAND, TX 77581 · Preferred Provider Organization · NPI assigned 10/12/2015

$1K
Total Medicaid Paid
172
Total Claims
159
Beneficiaries
4
Codes Billed
2021-03
First Month
2024-04
Last Month

Provider Details

Authorized OfficialNICKLEBERRY, TAMMEKA (CEO)
NPI Enumeration Date10/12/2015

Related Entities

Other providers sharing the same authorized official: NICKLEBERRY, TAMMEKA

ProviderCityStateTotal Paid
TLN FAMILY DENTAL PA HOUSTON TX $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 73 $493.75
2022 72 $685.40
2024 27 $276.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 27 $605.85
D1208 Topical application of fluoride, excluding varnish 43 40 $573.30
D0220 Intraoral - periapical first radiographic image 27 25 $276.32
D0601 73 67 $0.00