Medicaid Provider Spending

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

AMAZING SMILES PLLC

NPI: 1306059688 · SUGAR LAND, TX 77478 · General Practice Dentistry · NPI assigned 05/07/2007

$15K
Total Medicaid Paid
1,016
Total Claims
960
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialALLEN, MARGARET (OWNER)
NPI Enumeration Date05/07/2007

Related Entities

Other providers sharing the same authorized official: ALLEN, MARGARET

ProviderCityStateTotal Paid
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC CHEYENNE WY $5.12M
MEMORIAL HOSPITAL OF LARAMIE COUNTY CHEYENNE WY $3.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 101 $2K
2021 362 $4K
2022 258 $5K
2023 199 $3K
2024 96 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 298 278 $7K
D1208 Topical application of fluoride, excluding varnish 230 220 $3K
D1110 Prophylaxis - adult 43 40 $2K
D0274 Bitewings - four radiographic images 39 36 $1K
D0220 Intraoral - periapical first radiographic image 68 62 $736.66
D0230 Intraoral - periapical each additional radiographic image 62 55 $628.72
D1120 Prophylaxis - child 15 15 $367.50
D0601 248 241 $0.03
D0602 13 13 $0.00