BROADWAY FAMILY DENTAL PLLC

NPI: 1275249690 · GALVESTON, TX 77550 · General Practice Dentistry · NPI assigned 01/30/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JENNINGS, WILLIAM controls 11+ related entities in our dataset. Read more

$37K

Total Medicaid Paid

1,983

Total Claims

1,678

Beneficiaries

Codes Billed

2023-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	JENNINGS, WILLIAM (OWNER/DENTIST)
NPI Enumeration Date	01/30/2023

Other providers sharing the same authorized official: JENNINGS, WILLIAM

Provider	City	State	Total Paid
MARIETTA FAMILY DENTISTRY	MARIETTA	OK	$299K
MARSHALL FAMILY DENTAL PLLC	MARSHALL	TX	$124K
SMILELAND FAMILY DENTAL	SAN ANTONIO	TX	$118K
ARDMORE FAMILY DENTISTRY	ARDMORE	OK	$112K
WACO FAMILY DENTAL PLLC	BELLMEAD	TX	$71K
MADILL FAMILY DENTISTRY PLLC	MADILL	OK	$8K
CLEAR CREEK FAMILY DENTAL	HARKER HEIGHTS	TX	$7K
ROBBY JENNINGS DENTAL	TYLER	TX	$4K
GROESBECK FAMILY DENTAL	GROESBECK	TX	$4K
HEWITT FAMILY DENTAL	WOODWAY	TX	$4K
LOCHWOOD FAMILY DENTAL PLLC	DALLAS	TX	$0.00

Year	Claims	Total Paid
2023	61	$999.26
2024	1,922	$36K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	309	300	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	58	25	$5K
D1120	Prophylaxis - child	141	141	$5K
D1351	Sealant - per tooth	250	45	$4K
D1110	Prophylaxis - adult	75	73	$4K
D0274	Bitewings - four radiographic images	97	95	$3K
D0220	Intraoral - periapical first radiographic image	256	244	$3K
D0230	Intraoral - periapical each additional radiographic image	227	191	$2K
D1208	Topical application of fluoride, excluding varnish	163	160	$2K
D1206	Topical application of fluoride varnish	128	128	$2K
D0150	Comprehensive oral evaluation - new or established patient	16	15	$489.16
D0601		191	189	$0.01
D0602		60	60	$0.00
D0603		12	12	$0.00