Medicaid Provider Spending

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

IRISH TAYLOR DENTAL LLC

NPI: 1386876076 · OMAHA, NE 68107 · Dentist · NPI assigned 08/14/2009

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

Authorized official TAYLOR, PAUL controls 15+ related entities in our dataset. Read more

$126K
Total Medicaid Paid
6,038
Total Claims
5,461
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialTAYLOR, PAUL (CO-OWNER)
NPI Enumeration Date08/14/2009

Related Entities

Other providers sharing the same authorized official: TAYLOR, PAUL

ProviderCityStateTotal Paid
SGOH ACQUISITION INC GRAVETTE AR $10.82M
SGOH ACQUISITION, INC. SPARTA MO $3.61M
SGOH ACQUISITION INC ROGERSVILLE MO $3.53M
SGOH ACQUISITION INC SPRINGFIELD MO $2.85M
SGOH ACQUISITION, INC. CARTHAGE MO $1.34M
SGOH ACQUISITION, INC. ANDERSON MO $681K
SGOH ACQUISITION, INC. MARSHFIELD MO $620K
SGOH ACQUISITION, INC. JAY OK $601K
SGOH ACQUISITION INC MOUNT VERNON MO $476K
SGOH ACQUISITION, INC. NEOSHO MO $454K
SGOH ACQUISITION, INC. SOUTH WEST CITY MO $452K
SGOH ACQUISITION, INC. PINEVILLE MO $367K
SGOH ACQUISITION, INC. NOEL MO $297K
SGOH ACQUISITION, INC. GOODMAN MO $194K
SGOH ACQUISITION INC ROGERS AR $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,227 $51K
2019 2,050 $40K
2020 1,459 $30K
2021 302 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,301 1,300 $28K
D1208 Topical application of fluoride, excluding varnish 1,441 1,337 $28K
D1120 Prophylaxis - child 719 718 $18K
D1351 Sealant - per tooth 451 75 $11K
D0272 Bitewings - two radiographic images 942 942 $11K
D1110 Prophylaxis - adult 291 290 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 68 33 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 79 31 $5K
D0150 Comprehensive oral evaluation - new or established patient 150 150 $3K
D1999 279 273 $3K
D0210 Intraoral - complete series of radiographic images 54 54 $2K
D0274 Bitewings - four radiographic images 131 131 $2K
D2330 18 13 $1K
D0330 Panoramic radiographic image 90 90 $289.44
D0220 Intraoral - periapical first radiographic image 24 24 $97.92