Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BOYS RANCH › AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PA

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PA

NPI: 1063993020 · BOYS RANCH, TX 79010 · Pediatric Dentist · NPI assigned 08/27/2018

$9K
Total Medicaid Paid
415
Total Claims
392
Beneficiaries
7
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRISON, LYNSEY (COO)
Parent OrganizationAMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS PA
NPI Enumeration Date08/27/2018

Related Entities

Other providers sharing the same authorized official: HARRISON, LYNSEY

ProviderCityStateTotal Paid
AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC AMARILLO TX $17.50M
LUBBOCK PEDIATRIC DENTISTRY PLLC LUBBOCK TX $1.86M
AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS AT TOWN SQUARE PLLC AMARILLO TX $795K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 171 $4K
2024 244 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 86 85 $5K
D0120 Periodic oral evaluation - established patient 84 83 $2K
D1206 Topical application of fluoride varnish 89 88 $1K
D0274 Bitewings - four radiographic images 19 19 $657.59
D0230 Intraoral - periapical each additional radiographic image 38 19 $437.38
D0220 Intraoral - periapical first radiographic image 19 19 $227.58
D0602 80 79 $0.00