Medicaid Provider Spending

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

NPI: 1740301589 · KATI, TX 77450 · General Practice Dentistry · NPI assigned 04/02/2007

$3K
Total Medicaid Paid
282
Total Claims
275
Beneficiaries
6
Codes Billed
2020-12
First Month
2022-06
Last Month

Provider Details

Authorized OfficialVU, KEVIN (OWNER)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: VU, KEVIN

ProviderCityStateTotal Paid
ANHQUOC LLC FOLSOM CA $4K
NHAN TAM MED CLINIC SACRAMENTO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $61.25
2021 49 $371.20
2022 207 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 65 64 $930.51
D1330 93 91 $783.46
D1110 Prophylaxis - adult 14 14 $762.83
D0120 Periodic oral evaluation - established patient 16 16 $455.87
D0220 Intraoral - periapical first radiographic image 16 16 $188.30
D0603 78 74 $0.00