Medicaid Provider Spending

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

COTULLA SMILES PLLC

NPI: 1376176172 · COTULLA, TX 78014 · Dental Clinic/Center · NPI assigned 02/20/2020

$70K
Total Medicaid Paid
4,568
Total Claims
4,128
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSINGH, VIVEK (DENTIST)
NPI Enumeration Date02/20/2020

Related Entities

Other providers sharing the same authorized official: SINGH, VIVEK

ProviderCityStateTotal Paid
CRYSTAL DENTAL CARE PLLC CRYSTAL CITY TX $1.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $429.50
2021 690 $11K
2022 784 $11K
2023 1,727 $28K
2024 1,341 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 557 524 $18K
D0120 Periodic oral evaluation - established patient 489 466 $12K
D1208 Topical application of fluoride, excluding varnish 859 820 $11K
D1351 Sealant - per tooth 312 49 $8K
D0220 Intraoral - periapical first radiographic image 612 591 $7K
D0230 Intraoral - periapical each additional radiographic image 558 539 $6K
D0150 Comprehensive oral evaluation - new or established patient 116 109 $3K
D0274 Bitewings - four radiographic images 94 89 $3K
D0272 Bitewings - two radiographic images 69 69 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $777.04
D0603 890 860 $0.00