Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › BIXBY › SPARTAN FAMILY DENTISTRY

SPARTAN FAMILY DENTISTRY

NPI: 1750839163 · BIXBY, OK 74008 · Dentist · NPI assigned 09/14/2016

$4K
Total Medicaid Paid
191
Total Claims
191
Beneficiaries
4
Codes Billed
2018-07
First Month
2019-10
Last Month

Provider Details

Authorized OfficialTROCKEL, MARTIN (DOCTOR)
NPI Enumeration Date09/14/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 65 $1K
2019 126 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 55 55 $2K
D1206 Topical application of fluoride varnish 82 82 $1K
D0120 Periodic oral evaluation - established patient 34 34 $680.60
D1208 Topical application of fluoride, excluding varnish 20 20 $281.80