Medicaid Provider Spending

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

WILLIS FAMILY DENTISTRY

NPI: 1417298365 · GARLAND, TX 75043 · Dentist · NPI assigned 03/01/2013

$40K
Total Medicaid Paid
2,899
Total Claims
2,462
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialWILLIS, SCHRIE (DENTIST/OWNER)
NPI Enumeration Date03/01/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 237 $4K
2021 1,060 $15K
2022 1,137 $16K
2023 311 $4K
2024 154 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 445 407 $11K
D1208 Topical application of fluoride, excluding varnish 463 433 $6K
D0230 Intraoral - periapical each additional radiographic image 598 330 $6K
D0220 Intraoral - periapical first radiographic image 480 437 $5K
D1110 Prophylaxis - adult 103 98 $5K
D0274 Bitewings - four radiographic images 81 76 $2K
D1120 Prophylaxis - child 72 67 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $918.32
D1206 Topical application of fluoride varnish 32 27 $400.20
D0603 612 574 $0.00