Medicaid Provider Spending

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

KATY FAMILY DENTISTRY

NPI: 1184185985 · KATY, TX 77493 · Dental Clinic/Center · NPI assigned 03/26/2019

$89K
Total Medicaid Paid
6,196
Total Claims
5,457
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGADE, HANUMAN (PRESIDENT)
NPI Enumeration Date03/26/2019

Related Entities

Other providers sharing the same authorized official: GADE, HANUMAN

ProviderCityStateTotal Paid
UR SMILE DENTAL OF CLUTE PLLC CLUTE TX $152K
BAY CITY FAMILY DENTISTRY PLLC BAY CITY TX $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 18 $0.00
2021 1,729 $26K
2022 2,069 $31K
2023 1,466 $20K
2024 914 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 561 524 $14K
D1120 Prophylaxis - child 438 414 $14K
D0230 Intraoral - periapical each additional radiographic image 1,241 837 $12K
D0274 Bitewings - four radiographic images 444 405 $12K
D0220 Intraoral - periapical first radiographic image 986 918 $11K
D1208 Topical application of fluoride, excluding varnish 735 702 $10K
D1110 Prophylaxis - adult 143 135 $6K
D0145 Oral evaluation for a patient under three years of age 50 45 $6K
D0150 Comprehensive oral evaluation - new or established patient 91 87 $2K
D1351 Sealant - per tooth 90 14 $2K
D0330 Panoramic radiographic image 40 40 $333.72
D0272 Bitewings - two radiographic images 13 13 $301.60
D0603 1,364 1,323 $0.00