Medicaid Provider Spending

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

1-STOP DENTAL PLLC

NPI: 1124387196 · BEDFORD, TX 76021 · Dentist · NPI assigned 05/11/2012

$36K
Total Medicaid Paid
2,180
Total Claims
2,093
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTRAN, VICTORIA (DENTIST/PRESIDENT)
NPI Enumeration Date05/11/2012

Related Entities

Other providers sharing the same authorized official: TRAN, VICTORIA

ProviderCityStateTotal Paid
VICTORIA T TRAN MD INC HUNTINGTON BEACH CA $4K
1ST IMPRESSION DENTAL GROUP PLLC ARLINGTON TX $176.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 187 $3K
2021 897 $15K
2022 559 $11K
2023 324 $5K
2024 213 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 314 311 $8K
D1120 Prophylaxis - child 145 144 $5K
D1208 Topical application of fluoride, excluding varnish 351 347 $5K
D0220 Intraoral - periapical first radiographic image 374 370 $4K
D0230 Intraoral - periapical each additional radiographic image 349 346 $4K
D0274 Bitewings - four radiographic images 95 95 $3K
D1110 Prophylaxis - adult 57 57 $3K
D1351 Sealant - per tooth 83 17 $2K
D0272 Bitewings - two radiographic images 57 56 $1K
D0603 355 350 $0.00