Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BRYAN › DENTIST IN BRYAN PLLC

DENTIST IN BRYAN PLLC

NPI: 1396593133 · BRYAN, TX 77802 · General Practice Dentistry · NPI assigned 05/07/2024

$1K
Total Medicaid Paid
82
Total Claims
70
Beneficiaries
5
Codes Billed
2024-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIDHU, HARPREET (OWNER)
NPI Enumeration Date05/07/2024

Related Entities

Other providers sharing the same authorized official: SIDHU, HARPREET

ProviderCityStateTotal Paid
PARK ROW DENTAL ARLINGTON TX $1.08M
NOOR DENTAL, PLLC MINERAL WELLS TX $411K
HYGIEA HEALTHCARE,LLC PLAINSBORO NJ $14K
ACE DENTAL STUDIO PLLC ARLINGTON TX $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 82 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 19 19 $611.80
D0230 Intraoral - periapical each additional radiographic image 24 12 $194.14
D1208 Topical application of fluoride, excluding varnish 14 14 $191.10
D0220 Intraoral - periapical first radiographic image 13 13 $128.48
D0601 12 12 $0.00