Medicaid Provider Spending

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

SD- 4315FREDERICK PC

NPI: 1174074496 · SAN ANTONIO, TX 78201 · General Practice Dentistry · NPI assigned 10/21/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more

$218K
Total Medicaid Paid
11,989
Total Claims
10,607
Beneficiaries
16
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHAM, LYNHTHY (PRESIDENT)
NPI Enumeration Date10/21/2016

Related Entities

Other providers sharing the same authorized official: PHAM, LYNHTHY

ProviderCityStateTotal Paid
SD GREENVILLE LLC GREENVILLE TX $719K
SD CORPUS CHRISTI PLLC CORPUS CHRISTI TX $557K
SD- ROOSEVELT PC SAN ANTONIO TX $314K
SD TEXARKANA TEXARKANA TX $280K
SMILEY DENTAL SINGLETON PLLC DALLAS TX $215K
SD- POTRANCO, PC SAN ANTONIO TX $178K
SMILEY DENTAL - UNIVERSITY DENTON TX $114K
SMILEY DENTAL MCCART PLLC FORT WORTH TX $55K
SMILEY DENTAL KEMP PLLC WICHITA FALLS TX $47K
SD MEADOWBROOK PLLC FORT WORTH TX $26K
SD-BRAUN, PC SAN ANTONIO TX $22K
SD-933SCHERTZ PC SCHERTZ TX $22K
SD-HWY 78 PC SAN ANTONIO TX $20K
SD-DEZAVALA PC SAN ANTONIO TX $15K
SMILEY DENTAL LAMAR PLLC AUSTIN TX $12K
SD SAGINAW PLLC SAGINAW TX $8K
SD PARK ROW PLLC ARLINGTON TX $6K
SD HALTOM CITY PLLC HALTOM CITY TX $4K
SD VALLEY MILLS PLLC WACO TX $3K
SD PARK LAKE PLLC WACO TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,722 $26K
2022 4,866 $89K
2023 3,836 $75K
2024 1,565 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 682 673 $35K
D0120 Periodic oral evaluation - established patient 1,072 1,053 $29K
D0274 Bitewings - four radiographic images 943 927 $26K
D1208 Topical application of fluoride, excluding varnish 1,514 1,489 $21K
D1351 Sealant - per tooth 840 141 $20K
D0230 Intraoral - periapical each additional radiographic image 2,234 1,719 $20K
D0220 Intraoral - periapical first radiographic image 1,849 1,804 $19K
D1120 Prophylaxis - child 533 523 $19K
D0150 Comprehensive oral evaluation - new or established patient 408 395 $13K
D0145 Oral evaluation for a patient under three years of age 41 41 $6K
D0330 Panoramic radiographic image 216 206 $5K
D0210 Intraoral - complete series of radiographic images 41 41 $2K
D0272 Bitewings - two radiographic images 80 79 $2K
D0603 739 724 $0.00
D0602 248 247 $0.00
D0601 549 545 $0.00