Medicaid Provider Spending

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

FLOUR BLUFF DENTAL PLLC

NPI: 1306211735 · SAN ANTONIO, TX 78211 · General Practice Dentistry · NPI assigned 12/10/2015

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

Authorized official RASTOGI, GEETIKA controls 20+ related entities in our dataset. Read more

$154K
Total Medicaid Paid
7,573
Total Claims
6,613
Beneficiaries
15
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRASTOGI, GEETIKA (OWNER)
NPI Enumeration Date12/10/2015

Related Entities

Other providers sharing the same authorized official: RASTOGI, GEETIKA

ProviderCityStateTotal Paid
CROSBY FAMILY DENTAL INC CROSBY TX $949K
JASPER FAMILY DENTAL JASPER TX $945K
SPLENDORA DENTAL PLLC SPLENDORA TX $710K
LIBERTY SMILES, PLLC LIBERTY TX $518K
ROCKDALE DENTAL PLLC ROCKDALE TX $457K
SPRINGTOWN SMILES PLLC SPRINGTOWN TX $388K
ELGIN CUBE SMILES PLLC ELGIN TX $248K
MATHIS DENTAL PLLC MATHIS TX $222K
JASPER FAMILY DENTAL PLLC BEAUMONT TX $170K
GRANGERLAND DENTAL PLLC CONROE TX $109K
PORT LAVACA SMILES PLLC PORT LAVACA TX $99K
SMILEPOINT LLC ALBUQUERQUE NM $90K
SINTON DENTAL PLLC SINTON TX $88K
CALALLEN DENTAL & ORTHODONTICS PLLC CORPUS CHRISTI TX $65K
WESTGREEN DENTAL PLLC CYPRESS TX $39K
ARANSAS DENTAL PLLC ARANSAS PASS TX $37K
LYTLE DENTAL PLLC LYTLE TX $35K
AZLE CUBE SMILES PLLC AZLE TX $21K
BENBROOK SMILES PLLC BENBROOK TX $8K
DEVINE DENTAL & ORTHODONTICS PLLC DEVINE TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 370 $9K
2021 1,908 $42K
2022 1,789 $35K
2023 2,097 $46K
2024 1,409 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 526 138 $38K
D0120 Periodic oral evaluation - established patient 822 799 $22K
D1120 Prophylaxis - child 529 517 $18K
D0274 Bitewings - four radiographic images 452 440 $15K
D0220 Intraoral - periapical first radiographic image 1,161 1,113 $13K
D1208 Topical application of fluoride, excluding varnish 966 939 $13K
D0230 Intraoral - periapical each additional radiographic image 1,127 1,063 $12K
D1351 Sealant - per tooth 384 62 $7K
D1110 Prophylaxis - adult 127 124 $6K
D0150 Comprehensive oral evaluation - new or established patient 200 188 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 12 $2K
D0272 Bitewings - two radiographic images 32 32 $748.16
D0603 418 402 $0.01
D0601 586 575 $0.00
D0602 216 209 $0.00