Medicaid Provider Spending

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

OAK TREE DENTAL PLLC

NPI: 1114176740 · SACHSE, TX 75048 · Dentist · NPI assigned 09/18/2008

$3K
Total Medicaid Paid
266
Total Claims
246
Beneficiaries
4
Codes Billed
2021-03
First Month
2023-03
Last Month

Provider Details

Authorized OfficialKANG, BENHUR (OWNER)
NPI Enumeration Date09/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 141 $2K
2022 94 $1K
2023 31 $205.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 100 95 $1K
D0120 Periodic oral evaluation - established patient 50 44 $1K
D1120 Prophylaxis - child 26 24 $845.25
D0602 90 83 $0.00