Medicaid Provider Spending

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

BROWNWOOD TX DENTAL PLLC

NPI: 1104581412 · BROWNWOOD, TX 76801 · Dental Clinic/Center · NPI assigned 11/02/2021

$18K
Total Medicaid Paid
1,292
Total Claims
665
Beneficiaries
9
Codes Billed
2022-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSHALLU, KAMALPREET (OWNER)
NPI Enumeration Date11/02/2021

Related Entities

Other providers sharing the same authorized official: SHALLU, KAMALPREET

ProviderCityStateTotal Paid
DENTAL ZANIA PLLC PLANO TX $3.73M
DENTAL ZANIA - MESQUITE PLLC MESQUITE TX $2.76M
ROYAL FAMILY DENTISTRY PLLC LANCASTER TX $1.87M
IRVING TX DENTAL PLLC IRVING TX $1.19M
EASTLAND DENTAL PLLC EASTLAND TX $424K
RIDGEPOINT DENTAL TX PLLC KELLER TX $42K
BRECKENRIDGE DENTAL PLLC BRECKENRIDGE TX $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 582 $9K
2023 619 $7K
2024 91 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 275 28 $6K
D0230 Intraoral - periapical each additional radiographic image 493 158 $4K
D0150 Comprehensive oral evaluation - new or established patient 78 67 $2K
D0220 Intraoral - periapical first radiographic image 212 191 $2K
D1208 Topical application of fluoride, excluding varnish 154 143 $2K
D1120 Prophylaxis - child 36 36 $1K
D1110 Prophylaxis - adult 14 14 $510.88
D0274 Bitewings - four radiographic images 15 15 $305.27
D0603 15 13 $0.00