Medicaid Provider Spending

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

SD- POTRANCO, PC

NPI: 1063963387 · SAN ANTONIO, TX 78251 · General Practice Dentistry · NPI assigned 10/21/2016

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

Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more

$178K
Total Medicaid Paid
9,831
Total Claims
8,460
Beneficiaries
16
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHAM, LYNHTHY (PRESIDENT)
NPI Enumeration Date10/21/2016

Related Entities

Other providers sharing the same authorized official: PHAM, LYNHTHY

ProviderCityStateTotal Paid
SD GREENVILLE LLC GREENVILLE TX $719K
SD CORPUS CHRISTI PLLC CORPUS CHRISTI TX $557K
SD- ROOSEVELT PC SAN ANTONIO TX $314K
SD TEXARKANA TEXARKANA TX $280K
SD- 4315FREDERICK PC SAN ANTONIO TX $218K
SMILEY DENTAL SINGLETON PLLC DALLAS TX $215K
SMILEY DENTAL - UNIVERSITY DENTON TX $114K
SMILEY DENTAL MCCART PLLC FORT WORTH TX $55K
SMILEY DENTAL KEMP PLLC WICHITA FALLS TX $47K
SD MEADOWBROOK PLLC FORT WORTH TX $26K
SD-BRAUN, PC SAN ANTONIO TX $22K
SD-933SCHERTZ PC SCHERTZ TX $22K
SD-HWY 78 PC SAN ANTONIO TX $20K
SD-DEZAVALA PC SAN ANTONIO TX $15K
SMILEY DENTAL LAMAR PLLC AUSTIN TX $12K
SD SAGINAW PLLC SAGINAW TX $8K
SD PARK ROW PLLC ARLINGTON TX $6K
SD HALTOM CITY PLLC HALTOM CITY TX $4K
SD VALLEY MILLS PLLC WACO TX $3K
SD PARK LAKE PLLC WACO TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 238 $5K
2021 1,901 $34K
2022 3,017 $53K
2023 3,107 $58K
2024 1,568 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 747 713 $37K
D0120 Periodic oral evaluation - established patient 954 916 $25K
D0274 Bitewings - four radiographic images 903 862 $24K
D1351 Sealant - per tooth 862 116 $22K
D1208 Topical application of fluoride, excluding varnish 1,363 1,305 $19K
D0220 Intraoral - periapical first radiographic image 1,567 1,467 $16K
D0230 Intraoral - periapical each additional radiographic image 1,579 1,308 $15K
D1120 Prophylaxis - child 280 266 $9K
D0150 Comprehensive oral evaluation - new or established patient 175 165 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 13 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 27 14 $2K
D0330 Panoramic radiographic image 81 75 $1K
D0272 Bitewings - two radiographic images 20 20 $397.46
D0601 471 464 $0.00
D0603 752 728 $0.00
D0602 30 28 $0.00