Medicaid Provider Spending

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

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 OfficialKULARATNE, THANUJA (OWNER)
NPI Enumeration Date04/05/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 26 $402.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 14 12 $402.66
D0603 12 12 $0.00