Medicaid Provider Spending

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

BRAVO DENTAL

NPI: 1376902619 · GARLAND, TX 75040 · General Practice Dentistry · NPI assigned 02/15/2016

$25K
Total Medicaid Paid
2,388
Total Claims
2,006
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNE, RITA (OWNER)
NPI Enumeration Date02/15/2016

Related Entities

Other providers sharing the same authorized official: NE, RITA

ProviderCityStateTotal Paid
ROOT CANAL DENTISTS, PLLC DALLAS TX $2.24M
BRAVO DENTAL IRVING TX $87K
BRAVO DENTAL DALLAS TX $57K
BRAVO DENTAL DALLAS TX $26K
BRAVO DENTAL DALLAS TX $20K
BRAVO DENTAL GRAND PRAIRIE TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $0.00
2021 657 $7K
2022 873 $10K
2023 389 $5K
2024 436 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 535 227 $5K
D1208 Topical application of fluoride, excluding varnish 260 257 $4K
D0120 Periodic oral evaluation - established patient 118 116 $3K
D0220 Intraoral - periapical first radiographic image 278 264 $3K
D1110 Prophylaxis - adult 53 52 $3K
D1120 Prophylaxis - child 63 62 $2K
D0274 Bitewings - four radiographic images 86 80 $2K
D0150 Comprehensive oral evaluation - new or established patient 39 38 $1K
D0350 172 168 $1K
D1999 464 429 $0.00
D0603 259 252 $0.00
D0602 12 12 $0.00
D0601 49 49 $0.00