Medicaid Provider Spending

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

BLVD DENTISTRY

NPI: 1417365131 · HOUSTON, TX 77018 · Dentist · NPI assigned 07/25/2014

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

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$84K
Total Medicaid Paid
5,161
Total Claims
4,490
Beneficiaries
15
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date07/25/2014

Related Entities

Other providers sharing the same authorized official: PU, MARY

ProviderCityStateTotal Paid
RED ROCK DENTAL-FARMINGTON IRVING TX $3.59M
SAGE DENTAL BAYTOWN TX $2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC ALBUQUERQUE NM $2.14M
SAGE DENTAL-DEER PARK PLLC LA PORTE TX $1.87M
VINH NGO DENTISTRY PLLC VICTORIA TX $1.65M
ELEMENT DENTAL-BRYAN PLLC BRYAN TX $1.57M
FUSION DENTAL IRVING TX $1.49M
ELEMENT DENTAL-CONROE PLLC IRVING TX $1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC PORT ARTHUR TX $1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC ALBUQUERQUE NM $1.29M
FRESH DENTAL-SHREVEPORT IRVING TX $1.27M
FRESH DENTAL-BOSSIER CITY IRVING TX $1.21M
PEPPERMINT DENTAL-SHERMAN PLLC SHERMAN TX $1.17M
ELEMENT DENTAL PLLC LUFKIN TX $1.06M
RIO DENTAL AND ORTHODONTICS LLC RIO RANCHO NM $1.00M
ELEMENT DENTAL-HUMBLE PLLC HUMBLE TX $942K
GULFSIDE DENTAL BEAUMONT TX $939K
LEGEND DENTAL-GEORGETOWN GEORGETOWN TX $919K
BLISS DENTAL PLLC ODESSA TX $827K
BLISS DENTAL LUBBOCK PLLC LUBBOCK TX $826K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 377 $8K
2021 1,951 $31K
2022 1,496 $24K
2023 725 $13K
2024 612 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,028 880 $23K
D1120 Prophylaxis - child 599 521 $17K
D1110 Prophylaxis - adult 354 299 $14K
D1206 Topical application of fluoride varnish 692 616 $8K
D1208 Topical application of fluoride, excluding varnish 395 340 $5K
D0220 Intraoral - periapical first radiographic image 466 402 $5K
D0230 Intraoral - periapical each additional radiographic image 420 339 $4K
D0150 Comprehensive oral evaluation - new or established patient 97 96 $3K
D0274 Bitewings - four radiographic images 155 128 $3K
D0210 Intraoral - complete series of radiographic images 15 14 $918.32
D0330 Panoramic radiographic image 15 13 $552.10
D0272 Bitewings - two radiographic images 16 16 $350.70
D0601 879 798 $0.00
D1330 18 16 $0.00
D0603 12 12 $0.00