Medicaid Provider Spending

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

KALEB C THOMPSON DMD PA V

NPI: 1760247480 · HERTFORD, NC 27944 · Dental Clinic/Center · NPI assigned 02/21/2024

$14K
Total Medicaid Paid
755
Total Claims
605
Beneficiaries
6
Codes Billed
2024-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHOMPSON, KALEB (OWNER)
NPI Enumeration Date02/21/2024

Related Entities

Other providers sharing the same authorized official: THOMPSON, KALEB

ProviderCityStateTotal Paid
KALEB C THOMPSON DMD PA III COINJOCK NC $504K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 755 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 244 186 $5K
D1120 Prophylaxis - child 174 141 $3K
D1208 Topical application of fluoride, excluding varnish 237 189 $3K
D1110 Prophylaxis - adult 53 49 $2K
D0150 Comprehensive oral evaluation - new or established patient 30 25 $1K
D0274 Bitewings - four radiographic images 17 15 $465.70