Medicaid Provider Spending

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

PEPPERMINT DENTAL-LEWISVILLE PLLC

NPI: 1366713190 · CARROLLTON, TX 75010 · Dentist · NPI assigned 01/25/2012

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

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

$286K
Total Medicaid Paid
13,562
Total Claims
12,255
Beneficiaries
15
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date01/25/2012

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 708 $16K
2021 3,732 $87K
2022 4,116 $89K
2023 3,152 $61K
2024 1,854 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,803 1,772 $50K
D1110 Prophylaxis - adult 919 897 $49K
D0274 Bitewings - four radiographic images 926 905 $31K
D1120 Prophylaxis - child 872 859 $31K
D1206 Topical application of fluoride varnish 1,937 1,900 $27K
D0230 Intraoral - periapical each additional radiographic image 2,296 1,541 $25K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 241 124 $24K
D0220 Intraoral - periapical first radiographic image 1,582 1,554 $19K
D0210 Intraoral - complete series of radiographic images 129 126 $9K
D1351 Sealant - per tooth 260 49 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 194 174 $5K
D0145 Oral evaluation for a patient under three years of age 28 28 $4K
D0272 Bitewings - two radiographic images 140 138 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 22 14 $2K
D0603 2,213 2,174 $0.00