Medicaid Provider Spending

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

ALLIGATOR DENTAL CIBOLO, PLLC

NPI: 1316483704 · FLORESVILLE, TX 78114 · Pediatric Dentist · NPI assigned 01/10/2017

$18K
Total Medicaid Paid
1,390
Total Claims
1,340
Beneficiaries
6
Codes Billed
2021-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBURNS, ALFRED (DOCTOR/OWNER)
Parent OrganizationALLIGATOR DENTAL CIBOLO, PLLC
NPI Enumeration Date01/10/2017

Related Entities

Other providers sharing the same authorized official: BURNS, ALFRED

ProviderCityStateTotal Paid
ALLIGATOR DENTAL SEGUIN TX $8.36M
ALLIGATOR DENTAL SAN MARCOS TX $4.08M
ALLIGATOR DENTAL CIBOLO, PLLC CIBOLO TX $915K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 231 $2K
2022 475 $7K
2023 458 $6K
2024 226 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 153 152 $5K
D0120 Periodic oral evaluation - established patient 172 166 $5K
D1208 Topical application of fluoride, excluding varnish 310 299 $4K
D0350 167 161 $2K
D0145 Oral evaluation for a patient under three years of age 12 12 $2K
D0603 576 550 $0.00