Medicaid Provider Spending

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

ACCESS DENTAL OF PARK LAKE PA

NPI: 1275997082 · WACO, TX 76708 · Dentist · NPI assigned 04/07/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more

$209K
Total Medicaid Paid
5,975
Total Claims
4,915
Beneficiaries
20
Codes Billed
2020-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPHAN, TIEN (DENTIST)
NPI Enumeration Date04/07/2016

Related Entities

Other providers sharing the same authorized official: PHAN, TIEN

ProviderCityStateTotal Paid
ACCESS DENTAL OF RUNDBERG AUSTIN TX $3.69M
ACCESS DENTAL OF ED BLUESTEIN PA AUSTIN TX $2.50M
ACCESS DENTAL OF WILLIAM CANNON PA AUSTIN TX $1.69M
LA COSTA DENTAL OF KOSTORYZ PA CORPUS CHRISTI TX $1.62M
LA COSTA DENTAL OF LEOPARD PA CORPUS CHRISTI TX $1.32M
ACCESS DENTAL OF ZARZAMORA PA SAN ANTONIO TX $1.17M
LA COSTA DENTAL OF AYERS PA CORPUS CHRISTI TX $1.11M
ACCESS DENTAL OF 7TH STREET AUSTIN TX $1.06M
LA COSTA OF BEAUMONT PA BEAUMONT TX $650K
ACCESS DENTAL OF WHITE, P.A. SAN ANTONIO TX $564K
ACCESS DENTAL OF MEADOWBROOK FORT WORTH TX $549K
LA COSTA OF PORT ARTHUR PA PORT ARTHUR TX $526K
ACCESS DENTAL OF PLEASANTON, P.A. SAN ANTONIO TX $377K
ACCESS DENTAL OF FREDERICKSBURG PA SAN ANTONIO TX $356K
ACCESS DENTAL OF TRAWOOD PLLC EL PASO TX $349K
ACCESS DENTAL OF VALLEY MILLS PA WACO TX $291K
ACCESS DENTAL OF SAGINAW SAGINAW TX $281K
ACCESS DENTAL OF HALTOM CITY HALTOM CITY TX $140K
ACCESS DENTAL OF EL PASO PLLC EL PASO TX $122K
ACCESS DENTAL OF LAKE JUNE DALLAS TX $115K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 115 $2K
2021 2,390 $78K
2022 2,467 $96K
2023 1,003 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 986 274 $89K
D1120 Prophylaxis - child 582 571 $19K
D0120 Periodic oral evaluation - established patient 605 595 $16K
D2391 Resin-based composite - one surface, posterior, primary or permanent 186 59 $13K
D0150 Comprehensive oral evaluation - new or established patient 401 388 $12K
D1208 Topical application of fluoride, excluding varnish 901 882 $12K
D1110 Prophylaxis - adult 225 220 $11K
D0210 Intraoral - complete series of radiographic images 252 242 $11K
D0145 Oral evaluation for a patient under three years of age 49 47 $6K
D0274 Bitewings - four radiographic images 224 221 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 41 14 $3K
D1351 Sealant - per tooth 80 13 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 65 57 $2K
D0272 Bitewings - two radiographic images 71 69 $2K
D0330 Panoramic radiographic image 46 45 $1K
D0220 Intraoral - periapical first radiographic image 78 76 $877.04
D0230 Intraoral - periapical each additional radiographic image 86 67 $732.04
D0603 909 892 $0.18
D0601 132 127 $0.00
D0602 56 56 $0.00