Medicaid Provider Spending

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

BAY OAKS PEDIATRIC DENTISTRY PLLC

NPI: 1144956285 · HOUSTON, TX 77062 · Pediatric Dentist · NPI assigned 07/30/2022

$6K
Total Medicaid Paid
481
Total Claims
426
Beneficiaries
11
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAMINI, SHERVIN (MANAGER)
NPI Enumeration Date07/30/2022

Related Entities

Other providers sharing the same authorized official: AMINI, SHERVIN

ProviderCityStateTotal Paid
FORT BEND PEDIATRIC DENTISTRY MISSOURI CITY TX $2.93M
SOUTH TEXAS FAMILY DENTISTRY LLC HOUSTON TX $1.07M
TEXAS FAMILY DENTISTRY PLLC HOUSTON TX $313K
KIDZONE DENTAL PLLC HOUSTON TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 481 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 12 $1K
D1120 Prophylaxis - child 42 40 $1K
D0150 Comprehensive oral evaluation - new or established patient 56 48 $1K
D1206 Topical application of fluoride varnish 48 47 $588.00
D0272 Bitewings - two radiographic images 30 27 $467.60
D0220 Intraoral - periapical first radiographic image 50 46 $401.92
D0120 Periodic oral evaluation - established patient 12 12 $317.35
D0230 Intraoral - periapical each additional radiographic image 37 31 $264.73
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 14 $189.77
D0603 154 136 $0.00
D0602 14 13 $0.00