Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PHOENIX › AZ CHILDREN'S DENTAL CARE PLLC

AZ CHILDREN'S DENTAL CARE PLLC

NPI: 1023369154 · PHOENIX, AZ 85050 · Pediatric Dentist · NPI assigned 09/28/2012

$10K
Total Medicaid Paid
433
Total Claims
421
Beneficiaries
6
Codes Billed
2018-03
First Month
2020-01
Last Month

Provider Details

Authorized OfficialPATEL, HIREN (PRESIDENT)
NPI Enumeration Date09/28/2012

Related Entities

Other providers sharing the same authorized official: PATEL, HIREN

ProviderCityStateTotal Paid
TKV HOSPITALITY CORP HICKSVILLE NY $1.48M
KRISHIROSHI, LLC ASHEVILLE NC $79K
HIREN A. PATEL, DDS, PLLC ARLINGTON TX $27K
STADIUM DENTAL PLLC ARLINGTON TX $24K
ELLIS DENTAL LLC FORT WORTH TX $17K
GALLOWAY DENTAL PLLC MESQUITE TX $1K
HIREN K PATEL MD PC OPELIKA AL $682.64

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 145 $4K
2019 264 $6K
2020 24 $686.28

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 171 165 $6K
D1208 Topical application of fluoride, excluding varnish 145 139 $2K
D0120 Periodic oral evaluation - established patient 80 80 $2K
D0272 Bitewings - two radiographic images 13 13 $207.02
D0220 Intraoral - periapical first radiographic image 12 12 $117.20
D0230 Intraoral - periapical each additional radiographic image 12 12 $96.30