Medicaid Provider Spending

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

MODERN DENTAL

NPI: 1114586161 · EL CAMPO, TX 77437 · General Practice Dentistry · NPI assigned 06/12/2019

$14K
Total Medicaid Paid
1,231
Total Claims
1,152
Beneficiaries
8
Codes Billed
2020-12
First Month
2024-02
Last Month

Provider Details

Authorized OfficialKAHLON, GAGANDEEP (OWNER)
NPI Enumeration Date06/12/2019

Related Entities

Other providers sharing the same authorized official: KAHLON, GAGANDEEP

ProviderCityStateTotal Paid
SMILE PROFILE DENTAL OF TEXAS PLLC KATY TX $99K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $0.00
2021 311 $3K
2022 634 $8K
2023 262 $3K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 96 96 $3K
D0230 Intraoral - periapical each additional radiographic image 256 179 $3K
D1208 Topical application of fluoride, excluding varnish 176 176 $3K
D0220 Intraoral - periapical first radiographic image 193 192 $2K
D0145 Oral evaluation for a patient under three years of age 13 13 $2K
D1120 Prophylaxis - child 38 38 $1K
D0272 Bitewings - two radiographic images 51 51 $1K
D0603 408 407 $0.00