Medicaid Provider Spending

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

PULLMAN FAMILY DENTISTRY PLLC

NPI: 1821003237 · PULLMAN, WA 99163 · General Practice Dentistry · NPI assigned 07/31/2006

$34K
Total Medicaid Paid
1,927
Total Claims
1,867
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHIANG, JACK (PRESIDENT/DENTIST)
NPI Enumeration Date07/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 904 $15K
2019 507 $8K
2020 87 $2K
2021 35 $628.23
2022 24 $434.76
2023 145 $2K
2024 225 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 657 630 $15K
D1208 Topical application of fluoride, excluding varnish 510 501 $7K
D0120 Periodic oral evaluation - established patient 291 290 $7K
D1206 Topical application of fluoride varnish 167 149 $4K
D0150 Comprehensive oral evaluation - new or established patient 66 65 $2K
D0330 Panoramic radiographic image 12 12 $425.50
D9999 Unspecified adjunctive procedure, by report 224 220 $0.00