Medicaid Provider Spending

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

ZEE SMILE DENTAL INC

NPI: 1255851770 · WILLOW PARK, TX 76087 · Dental Clinic/Center · NPI assigned 06/26/2017

$2K
Total Medicaid Paid
279
Total Claims
274
Beneficiaries
6
Codes Billed
2022-06
First Month
2023-06
Last Month

Provider Details

Authorized OfficialOKUGBAYE, ESEOGHENE (DIRECTOR)
NPI Enumeration Date06/26/2017

Related Entities

Other providers sharing the same authorized official: OKUGBAYE, ESEOGHENE

ProviderCityStateTotal Paid
ALVARADO FAMILY DENTISTRY ALAVARDO TX $988K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 139 $1K
2023 140 $979.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 44 44 $721.25
D1208 Topical application of fluoride, excluding varnish 72 71 $602.70
D1120 Prophylaxis - child 28 28 $588.00
D0220 Intraoral - periapical first radiographic image 33 33 $200.96
D0230 Intraoral - periapical each additional radiographic image 36 32 $195.67
D0603 66 66 $0.00