Medicaid Provider Spending

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

THRIVE DENTAL AND ORTHODONTICS PLLC

NPI: 1174018568 · FRISCO, TX 75035 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/27/2018

$49K
Total Medicaid Paid
2,430
Total Claims
2,185
Beneficiaries
14
Codes Billed
2020-12
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCOUGHLIN, NATHAN (OWNER)
NPI Enumeration Date06/27/2018

Related Entities

Other providers sharing the same authorized official: COUGHLIN, NATHAN

ProviderCityStateTotal Paid
NC DENTAL MCKINNEY TX $45K
BRECKINRIDGE DENTAL AND ORTHODONTICS RICHARDSON TX $28K
THRIVE DENTAL ALLEN PLLC ALLEN TX $2K
THRIVE DENTAL SACHSE PLLC SACHSE TX $423.84

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 81 $1K
2021 366 $9K
2022 959 $18K
2023 941 $20K
2024 83 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 392 380 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 113 43 $10K
D1208 Topical application of fluoride, excluding varnish 523 505 $7K
D1110 Prophylaxis - adult 111 107 $5K
D1120 Prophylaxis - child 131 128 $4K
D0220 Intraoral - periapical first radiographic image 293 282 $3K
D0230 Intraoral - periapical each additional radiographic image 303 251 $3K
D0274 Bitewings - four radiographic images 116 112 $3K
D1351 Sealant - per tooth 76 16 $2K
D0272 Bitewings - two radiographic images 39 39 $841.68
D1206 Topical application of fluoride varnish 40 40 $499.80
D0603 186 181 $0.00
D0602 89 84 $0.00
D0601 18 17 $0.00