Medicaid Provider Spending

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

ALLSTAR DENTAL, PA

NPI: 1255788493 · FORT WORTH, TX 76116 · General Practice Dentistry · NPI assigned 05/18/2016

$76K
Total Medicaid Paid
4,253
Total Claims
3,626
Beneficiaries
15
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLORD, LEYLA (PRESIDENT)
NPI Enumeration Date05/18/2016

Related Entities

Other providers sharing the same authorized official: LORD, LEYLA

ProviderCityStateTotal Paid
LORD DENTAL, P.A. FORT WORTH TX $631K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $0.00
2021 448 $4K
2022 1,264 $22K
2023 1,372 $27K
2024 1,157 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 128 126 $18K
D1120 Prophylaxis - child 381 379 $14K
D0230 Intraoral - periapical each additional radiographic image 930 443 $11K
D0120 Periodic oral evaluation - established patient 386 384 $11K
D1208 Topical application of fluoride, excluding varnish 609 604 $9K
D0220 Intraoral - periapical first radiographic image 491 483 $6K
D0274 Bitewings - four radiographic images 96 95 $3K
D1351 Sealant - per tooth 112 15 $2K
D1110 Prophylaxis - adult 14 14 $768.32
D0272 Bitewings - two radiographic images 26 26 $607.88
D0150 Comprehensive oral evaluation - new or established patient 14 14 $494.48
D0603 981 964 $33.00
D1999 60 54 $0.00
D0602 13 13 $0.00
D0601 12 12 $0.00