Medicaid Provider Spending

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

BASTROP FAMILY DENTISTRY

NPI: 1003191677 · BASTROP, TX 78602 · General Practice Dentistry · NPI assigned 10/14/2011

$55K
Total Medicaid Paid
2,937
Total Claims
2,786
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRAWLINGS, TIMOTHY (OWNER/MANAGER)
NPI Enumeration Date10/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 134 $2K
2021 1,198 $22K
2022 966 $18K
2023 458 $9K
2024 181 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 644 607 $17K
D1110 Prophylaxis - adult 261 244 $11K
D1120 Prophylaxis - child 216 200 $7K
D1208 Topical application of fluoride, excluding varnish 477 456 $6K
D0274 Bitewings - four radiographic images 190 176 $6K
D0220 Intraoral - periapical first radiographic image 378 361 $4K
D0230 Intraoral - periapical each additional radiographic image 312 296 $3K
D0272 Bitewings - two radiographic images 46 44 $1K
D0601 359 350 $0.00
D0603 41 39 $0.00
D0602 13 13 $0.00