Medicaid Provider Spending

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

ACE DENTAL09 PLLC

NPI: 1417422270 · NEW BRAUNFELS, TX 78130 · General Practice Dentistry · NPI assigned 10/09/2018

$26K
Total Medicaid Paid
1,594
Total Claims
1,316
Beneficiaries
13
Codes Billed
2021-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialCHAKRAVARTY, ARONAV (BUSINESS MANAGER)
NPI Enumeration Date10/09/2018

Related Entities

Other providers sharing the same authorized official: CHAKRAVARTY, ARONAV

ProviderCityStateTotal Paid
ACE DENTAL07 PLLC HEWITT TX $192K
ACE DENTAL08 PLLC COPPERAS COVE TX $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,451 $25K
2022 143 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 176 171 $4K
D0120 Periodic oral evaluation - established patient 148 147 $4K
D1120 Prophylaxis - child 116 112 $4K
D1208 Topical application of fluoride, excluding varnish 263 256 $4K
D0145 Oral evaluation for a patient under three years of age 17 17 $2K
D1110 Prophylaxis - adult 54 51 $2K
D0230 Intraoral - periapical each additional radiographic image 339 101 $2K
D0150 Comprehensive oral evaluation - new or established patient 59 56 $2K
D0220 Intraoral - periapical first radiographic image 138 129 $1K
D0272 Bitewings - two radiographic images 14 14 $327.32
D0602 159 152 $0.00
D0603 98 97 $0.00
D0601 13 13 $0.00