Medicaid Provider Spending

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

TEXAS DENTAL ASSOCIATES, PA

NPI: 1194349084 · HOUSTON, TX 77008 · Dentist · NPI assigned 06/05/2020

$18K
Total Medicaid Paid
1,033
Total Claims
1,001
Beneficiaries
9
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLESAGE, SAHARA (OWNER)
NPI Enumeration Date06/05/2020

Related Entities

Other providers sharing the same authorized official: LESAGE, SAHARA

ProviderCityStateTotal Paid
TEXAS DENTAL ASSOCIATES, PA PASADENA TX $77K
TEXAS DENTAL ASSOCIATES PA HOUSTON TX $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 161 $2K
2023 443 $10K
2024 429 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 42 41 $5K
D1120 Prophylaxis - child 125 123 $4K
D0272 Bitewings - two radiographic images 116 114 $3K
D0220 Intraoral - periapical first radiographic image 151 145 $2K
D0120 Periodic oral evaluation - established patient 51 49 $1K
D0230 Intraoral - periapical each additional radiographic image 124 118 $1K
D1206 Topical application of fluoride varnish 86 85 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $423.84
D0603 326 314 $0.00