Medicaid Provider Spending

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

CYPRESS ROSEHILL FAMILY DENTISTRY, PLLC

NPI: 1265903330 · CYPRESS, TX 77429 · General Practice Dentistry · NPI assigned 12/16/2018

$31K
Total Medicaid Paid
2,320
Total Claims
1,491
Beneficiaries
12
Codes Billed
2021-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialHUYNH, TUNG (OWNER)
NPI Enumeration Date12/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 921 $13K
2022 1,175 $15K
2023 224 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 982 339 $9K
D1351 Sealant - per tooth 195 27 $5K
D1206 Topical application of fluoride varnish 274 270 $4K
D1120 Prophylaxis - child 106 103 $4K
D0220 Intraoral - periapical first radiographic image 363 356 $3K
D0120 Periodic oral evaluation - established patient 104 101 $3K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $1K
D1110 Prophylaxis - adult 13 13 $713.44
D0330 Panoramic radiographic image 14 14 $393.98
D0274 Bitewings - four radiographic images 14 14 $380.71
D0602 145 145 $0.00
D0603 80 79 $0.00