Medicaid Provider Spending

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

ASIRI FAMILY DENTISTRY PLLC

NPI: 1134694649 · THE WOODLANDS, TX 77382 · Dental Clinic/Center · NPI assigned 10/11/2018

$1K
Total Medicaid Paid
120
Total Claims
92
Beneficiaries
4
Codes Billed
2021-08
First Month
2022-01
Last Month

Provider Details

Authorized OfficialGUZMAN, MICHAEL (OWNER)
NPI Enumeration Date10/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 82 $982.65
2022 38 $369.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 13 12 $415.32
D1208 Topical application of fluoride, excluding varnish 26 25 $352.80
D0230 Intraoral - periapical each additional radiographic image 50 27 $332.82
D0220 Intraoral - periapical first radiographic image 31 28 $251.20