Medicaid Provider Spending

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

WOODLANDS ELITE DENTAL PARTNERS, PLLC

NPI: 1407969009 · SPRING, TX 77380 · General Practice Dentistry · NPI assigned 08/16/2006

$8K
Total Medicaid Paid
764
Total Claims
660
Beneficiaries
10
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIPP, DEA ANN (DIR. OPERATIONS/PROFESIONAL RELATIO)
Parent OrganizationALLAN HAMBURG D.D.S.,P.C.
NPI Enumeration Date08/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 19 $328.92
2024 745 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 110 101 $3K
D0150 Comprehensive oral evaluation - new or established patient 160 127 $3K
D0350 157 143 $620.62
D0367 66 59 $585.00
D0330 Panoramic radiographic image 62 57 $255.12
D0220 Intraoral - periapical first radiographic image 31 29 $235.84
D0230 Intraoral - periapical each additional radiographic image 31 12 $125.59
D0431 17 15 $41.00
D0603 101 92 $27.14
D0602 29 25 $9.02