Medicaid Provider Spending

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

WHITE OAK FAMILY DENTAL PLLC

NPI: 1013422047 · DENTON, TX 76208 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 12/13/2017

$46K
Total Medicaid Paid
3,059
Total Claims
2,704
Beneficiaries
12
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAHONEY, KACEY (OWNER)
NPI Enumeration Date12/13/2017

Related Entities

Other providers sharing the same authorized official: MAHONEY, KACEY

ProviderCityStateTotal Paid
HASLET FAMILY DENTAL PLLC HASLET TX $91K
TODAY DENTAL OF SAGINAW PLLC FORT WORTH TX $53K
CROWLEY STONE OAK PLLC CROWLEY TX $40K
OAK VIEW FAMILY DENTISTRY PLLC FORT WORTH TX $26K
TODAY DENTAL OF MANSFIELD NORTH PLLC MANSFIELD TX $5K
ACMA DENTAL GROUP PLLC FORT WORTH TX $2K
TODAY DENTAL OF GOLDEN TRIANGLE PLLC FORT WORTH TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 792 $11K
2022 1,117 $21K
2023 835 $11K
2024 315 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 311 309 $9K
D0274 266 257 $7K
D0230 662 432 $6K
D1208 425 422 $6K
D0220 475 466 $5K
D1110 95 95 $5K
D2392 34 14 $3K
D1120 80 80 $3K
D1351 80 14 $2K
D9230 14 12 $379.54
D0272 12 12 $257.18
D0601 605 591 $0.00