Medicaid Provider Spending

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

HAMPTON DENTAL PLLC

NPI: 1255785853 · FRISCO, TX 75034 · General Practice Dentistry · NPI assigned 04/20/2016

$10K
Total Medicaid Paid
270
Total Claims
175
Beneficiaries
7
Codes Billed
2019-04
First Month
2020-01
Last Month

Provider Details

Authorized OfficialPERAMALA, SAI LAVANYA (DENTIST)
NPI Enumeration Date04/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 258 $10K
2020 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 12 $3K
D1351 Sealant - per tooth 95 14 $3K
D0210 Intraoral - complete series of radiographic images 31 31 $2K
D0150 Comprehensive oral evaluation - new or established patient 31 31 $1K
D1120 Prophylaxis - child 13 13 $477.75
D1206 Topical application of fluoride varnish 31 31 $455.70
D0603 43 43 $0.00