Medicaid Provider Spending

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

NPI: 1912668070 · FORT GIBSON, OK 74434 · Dental Clinic/Center · NPI assigned 12/31/2021

$2K
Total Medicaid Paid
95
Total Claims
95
Beneficiaries
2
Codes Billed
2022-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialWILLIAMS, BRANDI (VP OF GROWTH)
NPI Enumeration Date12/31/2021

Related Entities

Other providers sharing the same authorized official: WILLIAMS, BRANDI

ProviderCityStateTotal Paid
32TCD PLLC TULSA OK $2.06M
CHICKASHA DENTAL GROUP PLLC CHICKASHA OK $887K
ANADARKO DENTAL GROUP PLLC ANADARKO OK $453K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 27 $555.10
2023 56 $1K
2024 12 $219.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 57 57 $1K
D1206 Topical application of fluoride varnish 38 38 $645.70