Medicaid Provider Spending

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

WALNUT DENTAL, P.A.

NPI: 1003991662 · RICHARDSON, TX 75081 · General Practice Dentistry · NPI assigned 10/25/2006

$35K
Total Medicaid Paid
1,829
Total Claims
1,557
Beneficiaries
11
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAN, PETER (PRESIDENT)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: TRAN, PETER

ProviderCityStateTotal Paid
PETER TRAN D.D.S., INC. MONTEBELLO CA $93K
THIRD EYE PLLC AUSTIN TX $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $191.10
2024 1,804 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 240 229 $7K
D1120 Prophylaxis - child 127 122 $4K
D0230 Intraoral - periapical each additional radiographic image 400 231 $4K
D1110 Prophylaxis - adult 75 74 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 42 15 $4K
D1208 Topical application of fluoride, excluding varnish 263 255 $4K
D0274 Bitewings - four radiographic images 98 95 $3K
D0220 Intraoral - periapical first radiographic image 247 231 $3K
D0210 Intraoral - complete series of radiographic images 19 19 $1K
D1351 Sealant - per tooth 40 15 $1K
D0603 278 271 $0.00