Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › KNOX VILLAGE DENTISTRY AND ORTHODONTICS PLLC

KNOX VILLAGE DENTISTRY AND ORTHODONTICS PLLC

NPI: 1235519406 · DALLAS, TX 75204 · General Practice Dentistry · NPI assigned 06/03/2015

$9K
Total Medicaid Paid
930
Total Claims
747
Beneficiaries
7
Codes Billed
2021-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIGMAN, MELISSA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date06/03/2015

Related Entities

Other providers sharing the same authorized official: SIGMAN, MELISSA

ProviderCityStateTotal Paid
BRYAN PLACE DENTAL P.C. DALLAS TX $893K
SMILE ZONE OF FAIR PARK,P.C. DALLAS TX $795K
ENSENADA DENTAL PLLC ARLINGTON TX $268K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $406.65
2022 200 $937.39
2023 273 $3K
2024 431 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 282 253 $2K
D0230 Intraoral - periapical each additional radiographic image 322 188 $2K
D0120 Periodic oral evaluation - established patient 74 68 $2K
D1208 Topical application of fluoride, excluding varnish 129 121 $1K
D1120 Prophylaxis - child 44 41 $918.75
D0601 50 50 $0.00
D0602 29 26 $0.00