Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Texarkana › NPI 1053545665
Dental

Glass, David

Glass, David was paid $184K by Medicaid between Jan 2018 and Aug 2018, across 16 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 47% of everything it billed.

33Billing provider infoGLASS, DAVID
TEXARKANA, TX 75503
33aNPI1053545665assigned 05/11/2009
33bProvider typePediatric Dentist
28Total paid$184K
24GClaims3,686
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#386 of 693
Median peer was paid$252K
This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20183,686$184K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 47% 626 105 $87K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 8.7% 188 60 $16K
D2140 7.9% 222 104 $15K
D2150 Silver amalgam - two surfaces, primary or permanent 5.2% 119 64 $10K
D1120 Dental cleaning, childProphylaxis - child 4.9% 251 239 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.8% 334 321 $9K
D0272 Bitewings - two radiographic images 4.2% 318 307 $8K
D1208 Topical application of fluoride, excluding varnish 3.6% 331 318 $7K
D0220 Intraoral - periapical first radiographic image 3.5% 379 354 $6K
D0230 Intraoral - periapical each additional radiographic image 2.7% 353 321 $5K
D0140 Limited oral evaluation - problem focused 2.5% 140 131 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 131 122 $3K
4 more codes
D1110 Prophylaxis - adult 1.4% 53 $3K
D7140 Extraction, erupted tooth or exposed root <1% 24 $2K
D0603 <1% 183 $860.00
D0602 <1% 34 $140.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.