Medicaid Provider Spending

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

THE LIGHT FAMILY DENTAL AND IMPLANT DENTISTRY PLLC

NPI: 1912617929 · CONVERSE, TX 78109 · Dental Clinic/Center · NPI assigned 11/30/2022

$876.71
Total Medicaid Paid
52
Total Claims
52
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-06
Last Month

Provider Details

Authorized OfficialAKINDUTIRE, ANDREW (DMD)
NPI Enumeration Date11/30/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 52 $876.71

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 25 25 $876.71
D0603 27 27 $0.00