Medicaid Provider Spending

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

CEDAR SMILES PEDIATRIC DENTISTRY

NPI: 1336719269 · CEDAR PARK, TX 78613 · Pediatric Dentist · NPI assigned 07/01/2021

$5K
Total Medicaid Paid
363
Total Claims
361
Beneficiaries
5
Codes Billed
2023-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialNAIK, DEEPA (OWNER)
NPI Enumeration Date07/01/2021

Related Entities

Other providers sharing the same authorized official: NAIK, DEEPA

ProviderCityStateTotal Paid
CHAMPION SMILES PEDIATRIC DENTISTRY HUTTO TX $242K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 253 $4K
2024 110 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $2K
D0120 Periodic oral evaluation - established patient 68 68 $2K
D1208 Topical application of fluoride, excluding varnish 60 60 $882.00
D0220 Intraoral - periapical first radiographic image 13 12 $148.94
D0603 165 164 $0.00