Medicaid Provider Spending

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

DENTACARE DENTAL OF COLLINS PA

NPI: 1275972382 · ARLINGTON, TX 76014 · Dentist · NPI assigned 06/21/2013

$21K
Total Medicaid Paid
1,195
Total Claims
1,131
Beneficiaries
12
Codes Billed
2020-12
First Month
2022-04
Last Month

Provider Details

Authorized OfficialPHAN, ALEEAHNA (DENTIST)
NPI Enumeration Date06/21/2013

Related Entities

Other providers sharing the same authorized official: PHAN, ALEEAHNA

ProviderCityStateTotal Paid
HAPII DENTAL AUSTIN TX $930K
DAYLIGHT DENTAL, PLLC AUSTIN TX $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 130 $2K
2021 806 $15K
2022 259 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 227 222 $6K
D1208 Topical application of fluoride, excluding varnish 297 288 $4K
D1120 Prophylaxis - child 119 112 $4K
D0274 Bitewings - four radiographic images 88 84 $3K
D0145 Oral evaluation for a patient under three years of age 12 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 44 39 $1K
D0230 Intraoral - periapical each additional radiographic image 84 55 $763.62
D1110 Prophylaxis - adult 14 13 $714.56
D0220 Intraoral - periapical first radiographic image 59 59 $591.76
D0601 110 107 $0.00
D0603 113 112 $0.00
D0602 28 28 $0.00