Medicaid Provider Spending

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

PORT LAVACA DENTISTRY PLLC

NPI: 1881005296 · PORT LAVACA, TX 77979 · Dentist · NPI assigned 05/20/2014

$16K
Total Medicaid Paid
990
Total Claims
962
Beneficiaries
8
Codes Billed
2021-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLOPEZ, PAOLA (PAYER ENROLLMENT TEAM LEAD)
NPI Enumeration Date05/20/2014

Related Entities

Other providers sharing the same authorized official: LOPEZ, PAOLA

ProviderCityStateTotal Paid
JOHNSON DENTAL GROUP PLLC ABILENE TX $275K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 112 $2K
2022 456 $8K
2023 315 $5K
2024 107 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 231 224 $6K
D1120 138 136 $5K
D1206 295 285 $4K
D0220 106 103 $1K
D0230 53 49 $494.93
D1208 12 12 $176.40
D0603 73 71 $0.00
D0601 82 82 $0.00