Medicaid Provider Spending

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

AZLE CUBE SMILES PLLC

NPI: 1306447537 · AZLE, TX 76020 · General Practice Dentistry · NPI assigned 11/04/2020

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

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

$21K
Total Medicaid Paid
770
Total Claims
610
Beneficiaries
16
Codes Billed
2022-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRASTOGI, GEETIKA (OWNER)
NPI Enumeration Date11/04/2020

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
FLOUR BLUFF DENTAL PLLC SAN ANTONIO TX $154K
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
BENBROOK SMILES PLLC BENBROOK TX $8K
DEVINE DENTAL & ORTHODONTICS PLLC DEVINE TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 253 $13K
2023 14 $0.00
2024 503 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 77 12 $10K
D1120 Prophylaxis - child 62 61 $2K
D0150 Comprehensive oral evaluation - new or established patient 61 58 $2K
D0230 Intraoral - periapical each additional radiographic image 162 85 $1K
D9248 14 12 $1K
D1208 Topical application of fluoride, excluding varnish 91 87 $1K
D0220 Intraoral - periapical first radiographic image 90 88 $1K
D0274 Bitewings - four radiographic images 14 13 $412.25
D0120 Periodic oral evaluation - established patient 13 13 $346.20
D0272 Bitewings - two radiographic images 15 15 $327.32
D0160 27 26 $325.92
D0350 28 26 $290.40
D1330 27 26 $244.06
D0601 41 41 $33.00
D0602 20 19 $33.00
D0603 28 28 $0.00