Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TEXAN TEETH DENTAL PLLC
NPI: 1942941653 · SAN MARCOS, TX 78666 ·
General Practice Dentistry
· NPI assigned 04/05/2022
$402.66
Total Medicaid Paid
26
Total Claims
24
Beneficiaries
2
Codes Billed
2023-04
First Month
2023-05
Last Month
Provider Details
Authorized Official
KULARATNE, THANUJA
(OWNER)
NPI Enumeration Date
04/05/2022
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
26
$402.66
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
Comprehensive oral evaluation - new or established patient
14
12
$402.66
D0603
12
12
$0.00