Medicaid Provider Spending

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

CDPT II PC

NPI: 1063926681 · DALLAS, TX 75248 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/17/2017

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

Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more

$3.16M
Total Medicaid Paid
151,100
Total Claims
133,285
Beneficiaries
29
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDASCH, CHARLOTTE (SR. OPERATIONS COORDINATOR)
NPI Enumeration Date11/17/2017

Related Entities

Other providers sharing the same authorized official: DASCH, CHARLOTTE

ProviderCityStateTotal Paid
UT BCDO SPECIALTY DENTAL SERVICES, PLLC WEST JORDAN UT $14.06M
TN SPECIALTY DENTAL SERVICES, PLLC BRENTWOOD TN $8.67M
TN SPECIALTY DENTAL SERVICES, PLLC KNOXVILLE TN $848K
NE SPECIALTY DENTAL SERVICES LLC OMAHA NE $521K
MT OMS SPECIALTY DENTAL SERVICES, PLLC BILLINGS MT $480K
CO SPECIALTY DENTAL SERVICES PLLC AURORA CO $341K
CO SPECIALTY DENTAL SERVICES PLLC GLENDALE CO $255K
UT SPECIALTY DENTAL SERVICES, PLLC SPANISH FORK UT $166K
CO SPECIALTY DENTAL SERVICES PLLC PARKER CO $120K
TN SPECIALTY DENTAL SERVICES, PLLC BRENTWOOD TN $117K
TN SPECIALTY DENTAL SERVICES, PLLC HENDERSONVILLE TN $98K
NE OMS SPECIALTY DENTAL SERVICES, LLC OMAHA NE $57K
TN SPECIALTY DENTAL SERVICES, PLLC NOLENSVILLE TN $54K
OK OMS SPECIALTY DENTAL SERVICES OKLAHOMA CITY OK $38K
NE SPECIALTY DENTAL SERVICES LLC OMAHA NE $35K
OK SPECIALTY DENTAL SERVICES PLLC OKLAHOMA CITY OK $32K
CO SPECIALTY DENTAL SERVICES PLLC THORNTON CO $23K
CO SPECIALTY DENTAL SERVICES PLLC COLORADO SPRINGS CO $13K
CO SPECIALTY DENTAL SERVICES PLLC COLORADO SPRINGS CO $5K
TN SPECIALTY DENTAL SERVICES, PLLC BRENTWOOD TN $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,301 $87K
2021 46,574 $927K
2022 40,616 $858K
2023 35,400 $719K
2024 24,209 $568K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,909 13,604 $468K
D0120 Periodic oral evaluation - established patient 16,868 16,453 $450K
D0145 Oral evaluation for a patient under three years of age 2,923 2,853 $377K
D1351 Sealant - per tooth 8,995 1,621 $227K
D0230 Intraoral - periapical each additional radiographic image 20,812 15,048 $219K
D1206 Topical application of fluoride varnish 15,954 15,567 $217K
D0272 Bitewings - two radiographic images 9,858 9,639 $213K
D0220 Intraoral - periapical first radiographic image 17,041 16,502 $196K
D1110 Prophylaxis - adult 3,619 3,549 $185K
D2930 Prefabricated stainless steel crown - primary tooth 1,189 384 $152K
D0274 Bitewings - four radiographic images 3,680 3,575 $115K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,352 3,136 $79K
D0210 Intraoral - complete series of radiographic images 1,009 986 $64K
D2391 Resin-based composite - one surface, posterior, primary or permanent 799 575 $57K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 559 384 $51K
D1208 Topical application of fluoride, excluding varnish 2,211 2,148 $30K
D0150 Comprehensive oral evaluation - new or established patient 553 537 $19K
D0140 Limited oral evaluation - problem focused 752 732 $13K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 136 55 $11K
D9420 323 291 $9K
D0330 Panoramic radiographic image 170 160 $3K
D7140 Extraction, erupted tooth or exposed root 32 25 $2K
D9248 13 13 $731.28
D1330 280 271 $634.56
D7111 37 24 $332.63
D1999 4,188 3,794 $0.00
D0603 11,725 11,410 $0.00
D0601 338 333 $0.00
D0602 9,775 9,616 $0.00