Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › IDEAL DENTAL OF MANSFIELD PLLC

IDEAL DENTAL OF MANSFIELD PLLC

NPI: 1750823589 · DALLAS, TX 75251 · Dentist · NPI assigned 11/10/2016

$117.60
Total Medicaid Paid
12
Total Claims
12
Beneficiary Records
1
Codes Billed
2023-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialPATEL, SHALIN (OWNER)
NPI Enumeration Date11/10/2016

Related Entities

Other providers sharing the same authorized official: PATEL, SHALIN

ProviderCityStateTotal Paid
MILESTONE DENTAL, PLLC ARLINGTON TX $285.69
IDEAL DENTAL OF CLIFFORD CROSSING PLLC FORT WORTH TX $132.30
IDEAL DENTAL OF ROANOKE PLLC ROANOKE TX $100.48

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $117.60

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1208 Topical application of fluoride, excluding varnish 12 12 $117.60