Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › KILGORE › ALPHA FIRST DENTAL CLINIC P.A

ALPHA FIRST DENTAL CLINIC P.A

NPI: 1225375942 · KILGORE, TX 75662 · General Practice Dentistry · NPI assigned 01/15/2013

$1.24M
Total Medicaid Paid
46,365
Total Claims
35,945
Beneficiaries
28
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIHIONKHAN, OMOWUMI (DENTIST/DIRECTOR)
NPI Enumeration Date01/15/2013

Related Entities

Other providers sharing the same authorized official: IHIONKHAN, OMOWUMI

ProviderCityStateTotal Paid
ALPHA FIRST DENTAL CLINIC P.A LONGVIEW TX $3.00M
ALPHA FIRST DENTAL CLINIC P.A TYLER TX $1.40M
ALPHA FIRST DENTAL CLINIC P.A MARSHALL TX $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,497 $40K
2021 12,600 $306K
2022 13,291 $393K
2023 9,146 $265K
2024 9,831 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,474 1,256 $223K
D0120 Periodic oral evaluation - established patient 4,399 4,325 $121K
D0230 Intraoral - periapical each additional radiographic image 10,765 4,084 $119K
D1120 Prophylaxis - child 3,112 3,066 $108K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,434 836 $102K
D1110 Prophylaxis - adult 1,608 1,574 $82K
D1208 Topical application of fluoride, excluding varnish 4,844 4,766 $67K
D2930 Prefabricated stainless steel crown - primary tooth 457 156 $63K
D0145 Oral evaluation for a patient under three years of age 409 407 $56K
D0220 Intraoral - periapical first radiographic image 4,679 4,568 $55K
D0210 Intraoral - complete series of radiographic images 797 779 $48K
D0274 Bitewings - four radiographic images 1,356 1,333 $44K
D7140 Extraction, erupted tooth or exposed root 583 281 $29K
D0272 Bitewings - two radiographic images 1,003 988 $22K
D1351 Sealant - per tooth 788 224 $20K
D9248 180 179 $19K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 573 537 $14K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 155 101 $14K
D0150 Comprehensive oral evaluation - new or established patient 443 421 $14K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 167 70 $13K
D0140 Limited oral evaluation - problem focused 287 279 $5K
D1206 Topical application of fluoride varnish 143 140 $2K
D0330 Panoramic radiographic image 34 33 $2K
D2330 15 12 $798.31
D1999 174 160 $0.00
D0602 1,867 1,829 $0.00
D0603 2,363 2,306 $0.00
D0601 1,256 1,235 $0.00