Medicaid Provider Spending

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

MANOR TOTAL DENTAL AND ORTHODONTICS PLLC

NPI: 1285168377 · MANOR, TX 78653 · Dentist · NPI assigned 04/14/2017

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

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$40K
Total Medicaid Paid
2,436
Total Claims
2,188
Beneficiaries
13
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date04/14/2017

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
MESA KIDTASTIC DENTAL LLC MESA AZ $1.61M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MESA VALLEY DENTAL LLC MESA AZ $1.24M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
GILBERT KIDTASTIC DENTAL LLC GILBERT AZ $481K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 450 $5K
2022 505 $17K
2023 865 $10K
2024 616 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 98 25 $10K
D1110 Prophylaxis - adult 114 111 $5K
D1206 Topical application of fluoride varnish 418 404 $5K
D0230 Intraoral - periapical each additional radiographic image 424 337 $3K
D0220 Intraoral - periapical first radiographic image 360 345 $3K
D0120 Periodic oral evaluation - established patient 122 118 $3K
D0274 Bitewings - four radiographic images 131 128 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 38 13 $3K
D0150 Comprehensive oral evaluation - new or established patient 51 51 $2K
D1120 Prophylaxis - child 40 40 $1K
D0330 Panoramic radiographic image 14 14 $621.28
D0210 Intraoral - complete series of radiographic images 13 13 $211.92
D0603 613 589 $0.00