SPARKS DENTAL P.A
NPI: 1144623240
· PLANO, TX 75024
· Dentist
· NPI assigned 10/02/2014
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | LANKUPALLI, ARCHANA (PRESIDENT) |
| Parent Organization | SPARKS DENTAL P.A |
| NPI Enumeration Date | 10/02/2014 |
Related Entities
Other providers sharing the same authorized official: LANKUPALLI, ARCHANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
219 |
$4K |
| 2021 |
1,586 |
$22K |
| 2022 |
1,968 |
$32K |
| 2023 |
2,616 |
$39K |
| 2024 |
868 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
895 |
834 |
$23K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,798 |
966 |
$18K |
| D1110 |
Prophylaxis - adult |
260 |
243 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
950 |
888 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,072 |
993 |
$12K |
| D0274 |
Bitewings - four radiographic images |
362 |
335 |
$11K |
| D1120 |
Prophylaxis - child |
296 |
274 |
$10K |
| D1351 |
Sealant - per tooth |
499 |
52 |
$9K |
| D0603 |
|
1,125 |
1,066 |
$0.00 |