Medicaid Provider Spending

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

UNDER MY PILLOW PEDIATRIC DENTISTRY PLLC

NPI: 1164976304 · CYPRESS, TX 77433 · Dental Clinic/Center · NPI assigned 08/04/2016

$48K
Total Medicaid Paid
2,869
Total Claims
2,636
Beneficiaries
8
Codes Billed
2020-11
First Month
2022-04
Last Month

Provider Details

Authorized OfficialGRACE, CANDACE (CEO)
NPI Enumeration Date08/04/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 239 $4K
2021 2,046 $34K
2022 584 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 496 496 $18K
D0120 Periodic oral evaluation - established patient 505 503 $14K
D1208 Topical application of fluoride, excluding varnish 487 487 $7K
D0230 Intraoral - periapical each additional radiographic image 397 176 $4K
D0220 Intraoral - periapical first radiographic image 289 280 $3K
D0272 Bitewings - two radiographic images 63 63 $1K
D1206 Topical application of fluoride varnish 14 14 $160.23
D0602 618 617 $0.00