Medicaid Provider Spending

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

ACCESS DENTAL OF FREDERICKSBURG PA

NPI: 1093262172 · SAN ANTONIO, TX 78201 · Dentist · NPI assigned 09/06/2016

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

Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more

$356K
Total Medicaid Paid
13,599
Total Claims
11,680
Beneficiaries
18
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHAN, TIEN (CEO)
NPI Enumeration Date09/06/2016

Related Entities

Other providers sharing the same authorized official: PHAN, TIEN

ProviderCityStateTotal Paid
ACCESS DENTAL OF RUNDBERG AUSTIN TX $3.69M
ACCESS DENTAL OF ED BLUESTEIN PA AUSTIN TX $2.50M
ACCESS DENTAL OF WILLIAM CANNON PA AUSTIN TX $1.69M
LA COSTA DENTAL OF KOSTORYZ PA CORPUS CHRISTI TX $1.62M
LA COSTA DENTAL OF LEOPARD PA CORPUS CHRISTI TX $1.32M
ACCESS DENTAL OF ZARZAMORA PA SAN ANTONIO TX $1.17M
LA COSTA DENTAL OF AYERS PA CORPUS CHRISTI TX $1.11M
ACCESS DENTAL OF 7TH STREET AUSTIN TX $1.06M
LA COSTA OF BEAUMONT PA BEAUMONT TX $650K
ACCESS DENTAL OF WHITE, P.A. SAN ANTONIO TX $564K
ACCESS DENTAL OF MEADOWBROOK FORT WORTH TX $549K
LA COSTA OF PORT ARTHUR PA PORT ARTHUR TX $526K
ACCESS DENTAL OF PLEASANTON, P.A. SAN ANTONIO TX $377K
ACCESS DENTAL OF TRAWOOD PLLC EL PASO TX $349K
ACCESS DENTAL OF VALLEY MILLS PA WACO TX $291K
ACCESS DENTAL OF SAGINAW SAGINAW TX $281K
ACCESS DENTAL OF PARK LAKE PA WACO TX $209K
ACCESS DENTAL OF HALTOM CITY HALTOM CITY TX $140K
ACCESS DENTAL OF EL PASO PLLC EL PASO TX $122K
ACCESS DENTAL OF LAKE JUNE DALLAS TX $115K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,054 $26K
2021 4,297 $105K
2022 3,660 $106K
2023 3,549 $103K
2024 1,039 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 733 247 $68K
D0120 Periodic oral evaluation - established patient 2,060 2,023 $56K
D2391 Resin-based composite - one surface, posterior, primary or permanent 672 208 $48K
D1120 Prophylaxis - child 1,237 1,218 $41K
D1110 Prophylaxis - adult 616 606 $31K
D1208 Topical application of fluoride, excluding varnish 2,037 2,006 $28K
D0274 Bitewings - four radiographic images 869 852 $25K
D1351 Sealant - per tooth 890 144 $21K
D0272 Bitewings - two radiographic images 571 562 $13K
D0145 Oral evaluation for a patient under three years of age 80 79 $11K
D0220 Intraoral - periapical first radiographic image 348 338 $4K
D0230 Intraoral - periapical each additional radiographic image 358 327 $4K
D0330 Panoramic radiographic image 156 152 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 94 91 $2K
D0150 Comprehensive oral evaluation - new or established patient 46 45 $1K
D0350 76 75 $1K
D0603 2,742 2,693 $0.03
D0602 14 14 $0.00