Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › AMARILLO › ABBEVILLE DENTISTRY - AMARILLO GRAND STREET, PLLC

ABBEVILLE DENTISTRY - AMARILLO GRAND STREET, PLLC

NPI: 1235641564 · AMARILLO, TX 79103 · General Practice Dentistry · NPI assigned 10/26/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$92K
Total Medicaid Paid
6,539
Total Claims
5,458
Beneficiaries
14
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREIBEL, JEFF (CFO)
NPI Enumeration Date10/26/2017

Related Entities

Other providers sharing the same authorized official: REIBEL, JEFF

ProviderCityStateTotal Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC LUBBOCK TX $6.30M
ABBEVILLE FAMILY DENTISTRY LUBBOCK TX $4.42M
KIDS DENTISTREE OF KY LLC LOUISVILLE KY $3.20M
KIDS DENTISTREE OF IN, LLC NEW ALBANY IN $3.20M
KIDS DENTISTREE OF IN, LLC AVON IN $2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC FRANKFORT KY $2.66M
SPECIALIZED DENTAL SERVICES.PLLC LOUISVILLE KY $2.29M
KIDS DENTISTREE OF IN, LLC SCOTTSBURG IN $2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC FRANKFORT KY $1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC INDEPENDENCE KY $1.39M
MFDC OF INDIANA, INC SCOTTSBURG IN $984K
MFDC OF INDIANA, INC INDIANAPOLIS IN $959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC BARDSTOWN KY $796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC SEYMOUR IN $788K
MFDC OF KY LLC DRY RIDGE KY $679K
MFDC OF INDIANA, INC AVON IN $648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC LEVELLAND TX $593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC MAINEVILLE OH $482K
KIDS DENTISTREE OF KY LLC GEORGETOWN KY $469K
MFDC OF INDIANA, INC GREENWOOD IN $443K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 173 $3K
2021 1,278 $19K
2022 1,749 $25K
2023 2,282 $32K
2024 1,057 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 400 365 $18K
D0274 Bitewings - four radiographic images 730 658 $17K
D0120 Periodic oral evaluation - established patient 660 608 $16K
D1206 Topical application of fluoride varnish 939 873 $12K
D1120 Prophylaxis - child 362 351 $12K
D0220 Intraoral - periapical first radiographic image 867 762 $6K
D0230 Intraoral - periapical each additional radiographic image 1,140 492 $6K
D0150 Comprehensive oral evaluation - new or established patient 89 78 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 12 $2K
D0330 Panoramic radiographic image 85 70 $1K
D0140 Limited oral evaluation - problem focused 25 25 $537.48
D0170 14 14 $179.45
D0601 852 815 $0.00
D0603 355 335 $0.00