Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BENBROOK › RELY DENTAL CENTERS PC

RELY DENTAL CENTERS PC

NPI: 1093248684 · BENBROOK, TX 76126 · General Practice Dentistry · NPI assigned 04/10/2017

$5K
Total Medicaid Paid
320
Total Claims
297
Beneficiaries
7
Codes Billed
2020-11
First Month
2021-08
Last Month

Provider Details

Authorized OfficialALOLABI, MOHAMAD (CO-OWNER)
NPI Enumeration Date04/10/2017

Related Entities

Other providers sharing the same authorized official: ALOLABI, MOHAMAD

ProviderCityStateTotal Paid
SIGNATURE FAMILY DENTISTRY PLLC RIVER OAKS TX $965K
GROWING SMILES OF ANNA PLLC ANNA TX $296K
SOLAR DENTAL AND ORTHODONTICS PLLC GRAND PRAIRIE TX $158K
LAS COLINAS FAMILY DENTISTRY AND ORTHODONTICS PLLC IRVING TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 99 $2K
2021 221 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 75 74 $2K
D1120 Prophylaxis - child 41 40 $1K
D1208 Topical application of fluoride, excluding varnish 94 93 $1K
D0230 Intraoral - periapical each additional radiographic image 30 13 $345.30
D0220 Intraoral - periapical first radiographic image 13 13 $163.28
D0601 26 25 $0.00
D0603 41 39 $0.00