Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT WORTH › ACMA DENTAL GROUP PLLC

ACMA DENTAL GROUP PLLC

NPI: 1356913198 · FORT WORTH, TX 76135 · General Practice Dentistry · NPI assigned 07/12/2021

$2K
Total Medicaid Paid
238
Total Claims
231
Beneficiaries
6
Codes Billed
2023-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMAHONEY, KACEY (DOCTOR)
NPI Enumeration Date07/12/2021

Related Entities

Other providers sharing the same authorized official: MAHONEY, KACEY

ProviderCityStateTotal Paid
HASLET FAMILY DENTAL PLLC HASLET TX $91K
TODAY DENTAL OF SAGINAW PLLC FORT WORTH TX $53K
WHITE OAK FAMILY DENTAL PLLC DENTON TX $46K
CROWLEY STONE OAK PLLC CROWLEY TX $40K
OAK VIEW FAMILY DENTISTRY PLLC FORT WORTH TX $26K
TODAY DENTAL OF MANSFIELD NORTH PLLC MANSFIELD TX $5K
TODAY DENTAL OF GOLDEN TRIANGLE PLLC FORT WORTH TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 226 $2K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 55 55 $764.40
D0220 Intraoral - periapical first radiographic image 39 39 $408.78
D1120 Prophylaxis - child 12 12 $404.25
D0120 Periodic oral evaluation - established patient 14 14 $375.05
D0230 Intraoral - periapical each additional radiographic image 31 27 $287.75
D0601 87 84 $0.00