Medicaid Provider Spending

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

JSK DENTAL PLLC

NPI: 1235750852 · SUGAR LAND, TX 77478 · General Practice Dentistry · NPI assigned 05/05/2020

$5K
Total Medicaid Paid
396
Total Claims
303
Beneficiary Records
8
Codes Billed
2022-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKORAT, HIREN (OWNER)
NPI Enumeration Date05/05/2020

Related Entities

Other providers sharing the same authorized official: KORAT, HIREN

ProviderCityStateTotal Paid
SCHULENBURG FAMILY DENTAL PLLC SCHULENBURG TX $43K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 174 $3K
2023 12 $100.48
2024 210 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 46 44 $1K
D1110 Prophylaxis - adult 23 21 $1K
D0230 Intraoral - periapical each additional radiographic image 142 58 $1K
D0220 Intraoral - periapical first radiographic image 87 85 $817.56
D1208 Topical application of fluoride, excluding varnish 43 43 $617.40
D0274 Bitewings - four radiographic images 19 17 $519.15
D0602 15 15 $0.00
D0603 21 20 $0.00