Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › GRAND PRAIRIE › AFFORDABLE DENTIST NEAR ME PLLC

AFFORDABLE DENTIST NEAR ME PLLC

NPI: 1194194845 · GRAND PRAIRIE, TX 75052 · Dentist · NPI assigned 09/23/2015

$1K
Total Medicaid Paid
240
Total Claims
231
Beneficiaries
3
Codes Billed
2021-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialPHAM, TRI (DOCTOR)
NPI Enumeration Date09/23/2015

Related Entities

Other providers sharing the same authorized official: PHAM, TRI

ProviderCityStateTotal Paid
TRICARE MEDICAL GROUP, PC FALLS CHURCH VA $665K
TRI PHAM MD LLC SHREVEPORT LA $343K
AFFORDABLE DENTIST NEAR ME PLLC FORT WORTH TX $41K
AFFORDABLE DENTIST NEAR ME PLLC CROWLEY TX $9K
AFFORDABLE DENTIST NEAR ME IN WACO PLLC WACO TX $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 71 $191.10
2022 156 $1K
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 69 66 $921.40
D0120 Periodic oral evaluation - established patient 12 12 $343.35
D0603 159 153 $0.00