Medicaid Provider Spending

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

OASIS DENTAL, P.A.

NPI: 1407074321 · KELLER, TX 76248 · General Practice Dentistry · NPI assigned 04/23/2007

$9K
Total Medicaid Paid
633
Total Claims
599
Beneficiaries
8
Codes Billed
2021-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHUYNH, ERIC (PRESIDENT)
NPI Enumeration Date04/23/2007

Related Entities

Other providers sharing the same authorized official: HUYNH, ERIC

ProviderCityStateTotal Paid
CONFI-DENTAL PA FORT WORTH TX $107K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 182 $3K
2022 125 $2K
2023 153 $2K
2024 173 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 121 115 $3K
D1208 Topical application of fluoride, excluding varnish 185 179 $3K
D0220 Intraoral - periapical first radiographic image 106 100 $1K
D0230 Intraoral - periapical each additional radiographic image 107 99 $1K
D1120 Prophylaxis - child 12 12 $441.00
D0602 64 56 $0.00
D0603 26 26 $0.00
D0601 12 12 $0.00