Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › MCKINNEY › DENTAL DEPOT OF MCKINNEY PLLC

DENTAL DEPOT OF MCKINNEY PLLC

NPI: 1144992819 · MCKINNEY, TX 75070 · General Practice Dentistry · NPI assigned 10/01/2021

$3K
Total Medicaid Paid
368
Total Claims
341
Beneficiaries
7
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKANA, HIMESH (MANAGING PARTNER DENTAL DEPOT DFW)
NPI Enumeration Date10/01/2021

Related Entities

Other providers sharing the same authorized official: KANA, HIMESH

ProviderCityStateTotal Paid
THE MAIN STREET DENTAL DEPOT, PLLC THE COLONY TX $92K
DENTAL DEPOT OF LITTLE ELM, PLLC AUBREY TX $73K
DENTAL DEPOT OF LEWISVILLE, PLLC LEWISVILLE TX $29K
DENTAL DEPOT OF HIGHLAND VILLAGE HIGHLAND VILLAGE TX $214.90

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 64 $725.84
2024 304 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 72 65 $905.00
D0220 Intraoral - periapical first radiographic image 76 72 $732.10
D1120 Prophylaxis - child 13 13 $477.75
D0150 Comprehensive oral evaluation - new or established patient 13 12 $423.84
D0230 Intraoral - periapical each additional radiographic image 41 38 $345.30
D0120 Periodic oral evaluation - established patient 13 12 $317.35
D0603 140 129 $5.01