Medicaid Provider Spending

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

CREEK 75 DENTAL GROUP PC

NPI: 1023314747 · PLANO, TX 75023 · General Practice Dentistry · NPI assigned 01/27/2011

$18K
Total Medicaid Paid
1,426
Total Claims
1,152
Beneficiaries
8
Codes Billed
2021-05
First Month
2022-12
Last Month

Provider Details

Authorized OfficialPAJOOHI, BORHAN (OWNER)
NPI Enumeration Date01/27/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 344 $4K
2022 1,082 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 532 267 $6K
D0120 Periodic oral evaluation - established patient 138 138 $4K
D0220 Intraoral - periapical first radiographic image 298 290 $3K
D1208 Topical application of fluoride, excluding varnish 153 153 $2K
D0274 Bitewings - four radiographic images 53 53 $1K
D1120 Prophylaxis - child 26 26 $918.75
D1110 Prophylaxis - adult 12 12 $603.68
D0602 214 213 $0.00