Medicaid Provider Spending

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

DAVID A. HALLENBECK, DDS, PLLC

NPI: 1225640600 · TOMBALL, TX 77375 · Pediatric Dentist · NPI assigned 08/18/2020

$35K
Total Medicaid Paid
3,446
Total Claims
3,238
Beneficiaries
12
Codes Billed
2021-07
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHALLENBECK, DAVID (OWNER)
NPI Enumeration Date08/18/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 725 $7K
2022 1,733 $16K
2023 988 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 346 331 $11K
D0120 Periodic oral evaluation - established patient 216 208 $6K
D1206 Topical application of fluoride varnish 382 364 $5K
D0150 Comprehensive oral evaluation - new or established patient 112 105 $3K
D0272 Bitewings - two radiographic images 165 152 $3K
D0220 Intraoral - periapical first radiographic image 284 270 $3K
D0230 Intraoral - periapical each additional radiographic image 236 214 $2K
D1351 Sealant - per tooth 70 12 $2K
D0330 Panoramic radiographic image 29 29 $409.41
D1330 534 516 $24.50
D1310 534 516 $0.00
D0603 538 521 $0.00