Medicaid Provider Spending

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

808 DENTISTS PA

NPI: 1083010649 · HEMPSTEAD, TX 77445 · Dentist · NPI assigned 11/10/2014

$49K
Total Medicaid Paid
3,093
Total Claims
2,733
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAN, ANDREW (PRESIDENT)
NPI Enumeration Date11/10/2014

Related Entities

Other providers sharing the same authorized official: TRAN, ANDREW

ProviderCityStateTotal Paid
WOODBRIDGE DENTAL, P.A. SUGAR LAND TX $322K
A PLUS SMILE DENTISTRY, PLLC HOUSTON TX $175K
ARROW DENTAL, P.A. PEARLAND TX $151K
KATY DENTISTS PA KATY TX $695.39

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 61 $736.10
2021 442 $7K
2022 651 $11K
2023 946 $16K
2024 993 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 405 389 $13K
D0120 Periodic oral evaluation - established patient 415 393 $11K
D1208 Topical application of fluoride, excluding varnish 642 614 $9K
D0230 Intraoral - periapical each additional radiographic image 640 386 $7K
D0220 Intraoral - periapical first radiographic image 468 444 $5K
D0274 Bitewings - four radiographic images 101 99 $3K
D1110 Prophylaxis - adult 17 17 $892.96
D0272 Bitewings - two radiographic images 44 40 $866.44
D0602 102 97 $0.00
D0601 259 254 $0.00