Medicaid Provider Spending

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

SPRING COMPLETE CARE DENTISTRY, PLLC

NPI: 1154740124 · SPRING, TX 77373 · General Practice Dentistry · NPI assigned 04/07/2014

$23K
Total Medicaid Paid
1,481
Total Claims
1,239
Beneficiaries
10
Codes Billed
2020-11
First Month
2023-01
Last Month

Provider Details

Authorized OfficialTAN, JEFF (OWNER DENTIST)
NPI Enumeration Date04/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 256 $5K
2021 646 $9K
2022 518 $7K
2023 61 $933.81

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 322 321 $8K
D1208 Topical application of fluoride, excluding varnish 297 297 $4K
D1351 Sealant - per tooth 138 14 $3K
D0272 Bitewings - two radiographic images 125 125 $3K
D1120 Prophylaxis - child 62 61 $2K
D1110 Prophylaxis - adult 38 37 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $494.48
D0230 Intraoral - periapical each additional radiographic image 156 42 $161.14
D0274 Bitewings - four radiographic images 26 26 $69.22
D0601 304 303 $0.00