Medicaid Provider Spending

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

1ST CARE DENTAL, P.A.

NPI: 1285906487 · CYPRESS, TX 77433 · General Practice Dentistry · NPI assigned 02/02/2012

$6K
Total Medicaid Paid
383
Total Claims
365
Beneficiaries
8
Codes Billed
2021-03
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHOANG, PHUONGHANH (PRESIDENT)
NPI Enumeration Date02/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 291 $4K
2022 92 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 69 69 $2K
D1208 Topical application of fluoride, excluding varnish 110 108 $2K
D0230 Intraoral - periapical each additional radiographic image 68 56 $725.13
D1110 Prophylaxis - adult 13 13 $713.44
D0220 Intraoral - periapical first radiographic image 59 56 $703.92
D1120 Prophylaxis - child 12 12 $404.25
D0601 26 25 $0.00
D0602 26 26 $0.00