Medicaid Provider Spending

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

NOLANA DENTAL, PLLC

NPI: 1356002174 · MCALLEN, TX 78504 · Dentist · NPI assigned 01/04/2022

$6K
Total Medicaid Paid
566
Total Claims
522
Beneficiaries
7
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUZMAN, SERGIO (OWNER)
NPI Enumeration Date01/04/2022

Related Entities

Other providers sharing the same authorized official: GUZMAN, SERGIO

ProviderCityStateTotal Paid
GUZMAN PEDIATRIC DENTISTRY MISSION TX $3.61M
MCALLEN FAMILY DENTISTRY PLLC MCALLEN TX $794K
PHARR FAMILY DENTISTRY PHARR TX $157K
EDINBURG DENTAL, PLLC SAN JUAN TX $138K
HEROES WESLACO PLLC WESLACO TX $99K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 58 $642.04
2024 508 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 154 113 $2K
D0220 Intraoral - periapical first radiographic image 123 121 $1K
D1208 Topical application of fluoride, excluding varnish 95 94 $1K
D0120 Periodic oral evaluation - established patient 25 25 $692.40
D1120 Prophylaxis - child 14 14 $477.75
D0150 Comprehensive oral evaluation - new or established patient 14 14 $353.20
D0603 141 141 $0.00