Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › BEST SMILE DENTAL, PC

BEST SMILE DENTAL, PC

NPI: 1194977850 · DALLAS, TX 75218 · General Practice Dentistry · NPI assigned 10/14/2008

$11K
Total Medicaid Paid
478
Total Claims
450
Beneficiaries
7
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLY, DANA (OWNER)
NPI Enumeration Date10/14/2008

Related Entities

Other providers sharing the same authorized official: LY, DANA

ProviderCityStateTotal Paid
1ST SMILE DENTAL, P.A. DALLAS TX $332K
TEXAS STAR DENTAL, P.A. DALLAS TX $214K
DENTAL EXPRESSIONS, P.C. MESQUITE TX $25K
LOVE DENTAL, P.A. DALLAS TX $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 49 $2K
2024 429 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 57 55 $8K
D0220 Intraoral - periapical first radiographic image 61 59 $703.36
D1208 Topical application of fluoride, excluding varnish 49 47 $646.80
D0230 Intraoral - periapical each additional radiographic image 56 44 $633.05
D1120 Prophylaxis - child 15 14 $514.50
D0150 Comprehensive oral evaluation - new or established patient 13 13 $459.16
D0603 227 218 $0.00