Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › AUSTIN › VALUDENTAL CONGRESS PLLC

VALUDENTAL CONGRESS PLLC

NPI: 1023699469 · AUSTIN, TX 78745 · General Practice Dentistry · NPI assigned 04/17/2021

$1K
Total Medicaid Paid
229
Total Claims
226
Beneficiaries
5
Codes Billed
2022-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHENDRICKS, CHAD (CREDENTIALING MANAGER)
NPI Enumeration Date04/17/2021

Related Entities

Other providers sharing the same authorized official: HENDRICKS, CHAD

ProviderCityStateTotal Paid
GD MI SOUTHFIELD PLLC SOUTHFIELD MI $204K
DR CAMERON & ASSOCIATES OF HILLSBOROUGH PLLC HILLSBOROUGH NC $116K
DR CAMERON & ASSOCIATES OF DURHAM PLLC DURHAM NC $38K
JONATHAN E MASON DMD PC CASTLETON VT $15K
SHAVE DENTAL HOUSTON PLLC HOUSTON TX $14K
DR. ECHOLS & ASSOCIATES OF CULLMAN, PLLC CULLMAN AL $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 54 $205.80
2023 138 $599.10
2024 37 $320.82

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 53 53 $705.60
D0220 Intraoral - periapical first radiographic image 36 36 $326.56
D0230 Intraoral - periapical each additional radiographic image 12 12 $69.06
D1330 40 40 $24.50
D0603 88 85 $0.00