Medicaid Provider Spending

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

MESA VALLEY DENTAL LLC

NPI: 1033750724 · MESA, AZ 85206 · Pediatric Dentist · NPI assigned 10/03/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$1.24M
Total Medicaid Paid
107,797
Total Claims
96,937
Beneficiaries
27
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date10/03/2019

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
MESA KIDTASTIC DENTAL LLC MESA AZ $1.61M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
GILBERT KIDTASTIC DENTAL LLC GILBERT AZ $481K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K
SOUTHPARK AUSTIN DENTAL PLLC AUSTIN TX $172K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15,635 $162K
2021 24,241 $250K
2022 25,889 $327K
2023 22,501 $279K
2024 19,531 $224K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12,602 12,249 $233K
D0120 Periodic oral evaluation - established patient 12,592 12,261 $157K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,391 1,315 $101K
D0230 Intraoral - periapical each additional radiographic image 15,207 12,241 $88K
D0220 Intraoral - periapical first radiographic image 13,502 13,092 $86K
D0272 Bitewings - two radiographic images 8,051 7,828 $83K
D1206 Topical application of fluoride varnish 8,396 8,187 $77K
D1208 Topical application of fluoride, excluding varnish 5,912 5,782 $54K
D1351 Sealant - per tooth 3,975 1,158 $51K
D0274 Bitewings - four radiographic images 3,248 3,147 $46K
D2930 Prefabricated stainless steel crown - primary tooth 767 384 $45K
D1110 Prophylaxis - adult 1,918 1,851 $42K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,088 741 $37K
D0330 Panoramic radiographic image 1,688 1,622 $33K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,655 2,478 $29K
D0150 Comprehensive oral evaluation - new or established patient 1,444 1,392 $28K
D7140 Extraction, erupted tooth or exposed root 414 275 $15K
D9248 373 341 $14K
D0240 836 514 $7K
D0140 Limited oral evaluation - problem focused 434 415 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 90 56 $4K
D0145 Oral evaluation for a patient under three years of age 152 147 $2K
D1999 1,434 1,320 $1K
D1354 84 39 $667.69
D3120 30 26 $238.04
D0602 3,387 3,184 $0.00
D0603 5,127 4,892 $0.00