Medicaid Provider Spending

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

DEERBROOK FAMILY DENTISTRY

NPI: 1356718563 · HUMBLE, TX 77338 · General Practice Dentistry · NPI assigned 08/24/2015

$18K
Total Medicaid Paid
1,196
Total Claims
1,147
Beneficiaries
8
Codes Billed
2022-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEREZ, MARIA (PRESIDENT)
NPI Enumeration Date08/24/2015

Related Entities

Other providers sharing the same authorized official: PEREZ, MARIA

ProviderCityStateTotal Paid
MRPV,LLC VEGA BAJA PR $360K
MUNICIPALITY OF CATANO CATANO PR $176K
MUNICIPALITY OF CATANO CATANO PR $482.40
HOLLISTER PEDIATRICS HOLLISTER CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 69 $1K
2023 825 $12K
2024 302 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 174 168 $5K
D1208 Topical application of fluoride, excluding varnish 280 268 $4K
D1120 Prophylaxis - child 108 103 $4K
D0220 Intraoral - periapical first radiographic image 212 204 $2K
D0230 Intraoral - periapical each additional radiographic image 213 204 $2K
D0272 Bitewings - two radiographic images 46 45 $965.44
D0603 149 143 $0.00
D0602 14 12 $0.00