Medicaid Provider Spending

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

HOBERT L. MACK, D.D.S., INC

NPI: 1780802975 · LOGAN, WV 25601 · General Practice Dentistry · NPI assigned 04/23/2007

$6K
Total Medicaid Paid
155
Total Claims
119
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialFLEMING, KRISTINA (SECRETARY)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 120 $5K
2019 18 $630.00
2020 17 $595.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 112 92 $4K
D7140 Extraction, erupted tooth or exposed root 24 15 $2K
D0220 Intraoral - periapical first radiographic image 19 12 $285.00