Medicaid Provider Spending

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

SIGNATURE DENTAL, INC

NPI: 1740455245 · OKLAHOMA CITY, OK 73112 · Dental Clinic/Center · NPI assigned 04/25/2008

$9K
Total Medicaid Paid
445
Total Claims
445
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialMCCONNELL-POORE, KESA (OWNER)
NPI Enumeration Date04/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 403 $8K
2019 42 $871.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 110 110 $3K
D0120 Periodic oral evaluation - established patient 159 159 $3K
D1208 Topical application of fluoride, excluding varnish 176 176 $3K