Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › GALVESTON › GULFSIDE DENTAL-GALVESTON PLLC

GULFSIDE DENTAL-GALVESTON PLLC

NPI: 1326443128 · GALVESTON, TX 77551 · Dentist · NPI assigned 10/23/2014

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

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$52K
Total Medicaid Paid
3,485
Total Claims
2,894
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date10/23/2014

Related Entities

Other providers sharing the same authorized official: PU, MARY

ProviderCityStateTotal Paid
RED ROCK DENTAL-FARMINGTON IRVING TX $3.59M
SAGE DENTAL BAYTOWN TX $2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC ALBUQUERQUE NM $2.14M
SAGE DENTAL-DEER PARK PLLC LA PORTE TX $1.87M
VINH NGO DENTISTRY PLLC VICTORIA TX $1.65M
ELEMENT DENTAL-BRYAN PLLC BRYAN TX $1.57M
FUSION DENTAL IRVING TX $1.49M
ELEMENT DENTAL-CONROE PLLC IRVING TX $1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC PORT ARTHUR TX $1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC ALBUQUERQUE NM $1.29M
FRESH DENTAL-SHREVEPORT IRVING TX $1.27M
FRESH DENTAL-BOSSIER CITY IRVING TX $1.21M
PEPPERMINT DENTAL-SHERMAN PLLC SHERMAN TX $1.17M
ELEMENT DENTAL PLLC LUFKIN TX $1.06M
RIO DENTAL AND ORTHODONTICS LLC RIO RANCHO NM $1.00M
ELEMENT DENTAL-HUMBLE PLLC HUMBLE TX $942K
GULFSIDE DENTAL BEAUMONT TX $939K
LEGEND DENTAL-GEORGETOWN GEORGETOWN TX $919K
BLISS DENTAL PLLC ODESSA TX $827K
BLISS DENTAL LUBBOCK PLLC LUBBOCK TX $826K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 44 $552.55
2021 1,242 $17K
2022 1,354 $23K
2023 606 $9K
2024 239 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 499 473 $13K
D0230 Intraoral - periapical each additional radiographic image 882 424 $8K
D1206 Topical application of fluoride varnish 578 551 $7K
D1120 Prophylaxis - child 203 189 $6K
D1110 Prophylaxis - adult 112 109 $5K
D0220 Intraoral - periapical first radiographic image 460 432 $5K
D0274 Bitewings - four radiographic images 121 112 $3K
D0210 Intraoral - complete series of radiographic images 31 30 $2K
D1208 Topical application of fluoride, excluding varnish 82 79 $1K
D0602 345 330 $0.00
D0603 154 152 $0.00
D0601 18 13 $0.00