MAI VANTAGE DENTAL PLLC
NPI: 1053835488
· TOMBALL, TX 77375
· 1223G0001X
$524K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
786 |
$17K |
| 2021 |
9,430 |
$197K |
| 2022 |
8,981 |
$176K |
| 2023 |
5,498 |
$133K |
| 2024 |
105 |
$612.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,178 |
520 |
$93K |
| D1351 |
|
2,552 |
561 |
$61K |
| D0120 |
|
2,044 |
1,873 |
$51K |
| D1110 |
|
975 |
906 |
$45K |
| D1120 |
|
1,550 |
1,389 |
$45K |
| D0145 |
|
363 |
344 |
$43K |
| D1208 |
|
2,566 |
2,336 |
$32K |
| D2391 |
|
441 |
256 |
$30K |
| D0272 |
|
1,540 |
1,406 |
$30K |
| D0220 |
|
2,885 |
2,443 |
$24K |
| D0230 |
|
2,909 |
2,221 |
$21K |
| D0274 |
|
888 |
761 |
$17K |
| D0150 |
|
536 |
452 |
$15K |
| D0330 |
|
461 |
377 |
$9K |
| D9230 |
|
316 |
274 |
$7K |
| D0140 |
|
80 |
72 |
$1K |
| D0210 |
|
12 |
12 |
$847.68 |
| D0603 |
|
3,504 |
3,196 |
$0.00 |