Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › LOS LUNAS › VFD LTD

VFD LTD

NPI: 1790153484 · LOS LUNAS, NM 87031 · General Practice Dentistry · NPI assigned 09/11/2015

$25K
Total Medicaid Paid
557
Total Claims
472
Beneficiaries
5
Codes Billed
2022-04
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSMITH, TIMOTHY (OWNER)
NPI Enumeration Date09/11/2015

Related Entities

Other providers sharing the same authorized official: SMITH, TIMOTHY

ProviderCityStateTotal Paid
LAKEWOOD FAMILY MEDICINE PLC HOLLAND MI $1.38M
GRACE PRIMARY CARE, PC HUNTSVILLE TN $1.22M
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME GILMAN IL $887K
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME KENTLAND IN $735K
IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME MILFORD IL $569K
BREATHITT COUNTY HOME MEDICAL LLC JACKSON KY $51K
CORNERSTONE HEALTHCARE ASSOCIATES LLC COLUMBUS OH $18K
TIMOTHY W SMITH DMD LLC HANCEVILLE AL $10K
TIMOTHY J. SMITH, O.D.,P.C. LIBERTY MO $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 126 $5K
2023 134 $6K
2024 297 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 165 80 $11K
D0150 Comprehensive oral evaluation - new or established patient 205 205 $7K
D1110 Prophylaxis - adult 135 135 $6K
D0274 Bitewings - four radiographic images 38 38 $1K
D1206 Topical application of fluoride varnish 14 14 $256.58