Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEWISVILLE
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MAIN DENTISTRY, P.A.
NPI: 1912030230 · LEWISVILLE, TX 75056 ·
122300000X
$12K
Total Medicaid Paid
615
Total Claims
469
Beneficiaries
13
Codes Billed
2021-01
First Month
2023-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
127
$2K
2022
360
$9K
2023
128
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D2392
33
12
$3K
D1208
123
113
$2K
D0230
124
59
$1K
D0120
47
44
$1K
D1120
31
28
$992.25
D0210
14
14
$988.96
D1110
14
14
$768.32
D0220
65
61
$753.60
D0150
15
15
$529.80
D9230
19
19
$515.09
D0272
14
13
$303.94
D0603
57
46
$0.00
D0602
59
31
$0.00