Medicaid Provider Spending

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

SMILE WORKSHOP SAN ANTONIO, PLLC

NPI: 1376819052 · SAN ANTONIO, TX 78245 · Dentist · NPI assigned 03/28/2012

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

Authorized official AHMED, SULMAN controls 20+ related entities in our dataset. Read more

$431K
Total Medicaid Paid
21,686
Total Claims
16,230
Beneficiaries
18
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAHMED, SULMAN (OWNER)
NPI Enumeration Date03/28/2012

Related Entities

Other providers sharing the same authorized official: AHMED, SULMAN

ProviderCityStateTotal Paid
SMILE WORKSHOP AMARILLO, PLLC AMARILLO TX $2.29M
SMILE CARE NORTHEAST, PLLC HURST TX $1.32M
SMILE WORKSHOP FORT WORTH, PLLC FORT WORTH TX $714K
SMILE WORKSHOP BALCH SPRINGS, PLLC BALCH SPRINGS TX $669K
SMILE WORKSHOP DENTON, PLLC DENTON TX $652K
SMILE WORKSHOP DENTAL SPECIALISTS-AMARILLO, PLLC AMARILLO TX $615K
SMILE WORKSHOP TIMBER CREEK, PLLC DALLAS TX $498K
SMILE CARE CEDAR HILL CEDAR HILL TX $460K
SMILE WORKSHOP FORNEY, PLLC FORNEY TX $234K
SMILE CARE, PLLC DALLAS TX $190K
SMILE WORKSHOP NEW BRAUNFELS, PLLC NEW BRAUNFELS TX $49K
SMILE WORKSHOP ALAMO RANCH, PLLC SAN ANTONIO TX $9K
IDEAL DENTAL OF WYLIE, PLLC WYLIE TX $8K
IDEAL DENTAL BRUSH CEDAR PARK PLLC CEDAR PARK TX $2K
IDEAL DENTAL OF STONE PARK PLLC HOUSTON TX $2K
IDEAL DENTAL OF RICHMOND PLLC RICHMOND TX $2K
IDEAL DENTAL OF LEAGUE CITY PLLC LEAGUE CITY TX $2K
IDEAL DENTAL OF POTRANCO PLLC SAN ANTONIO TX $2K
IDEAL DENTAL OF RAYFORD PLLC SPRING TX $1K
LAKE WORTH CENTER DENTAL PLLC FORT WORTH TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $0.00
2020 608 $13K
2021 5,804 $146K
2022 5,923 $120K
2023 6,517 $115K
2024 2,822 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 2,445 495 $63K
D0120 Periodic oral evaluation - established patient 1,873 1,857 $52K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 532 219 $51K
D0230 Intraoral - periapical each additional radiographic image 4,286 2,002 $44K
D1110 Prophylaxis - adult 770 761 $40K
D0274 Bitewings - four radiographic images 1,084 1,070 $35K
D1120 Prophylaxis - child 983 969 $34K
D0145 Oral evaluation for a patient under three years of age 214 214 $30K
D1208 Topical application of fluoride, excluding varnish 1,927 1,906 $27K
D0220 Intraoral - periapical first radiographic image 2,163 2,125 $25K
D0350 1,861 1,147 $11K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 336 314 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 69 41 $5K
D0272 Bitewings - two radiographic images 144 144 $3K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $1K
D0330 Panoramic radiographic image 41 39 $282.31
D0603 2,843 2,813 $0.00
D0801 77 76 $0.00