SD SAGINAW PLLC

NPI: 1417646696 · SAGINAW, TX 76179 · General Practice Dentistry · NPI assigned 05/03/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more

$8K

Total Medicaid Paid

621

Total Claims

523

Beneficiaries

Codes Billed

2024-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	PHAM, LYNHTHY (OWNER)
NPI Enumeration Date	05/03/2023

Other providers sharing the same authorized official: PHAM, LYNHTHY

Provider	City	State	Total Paid
SD GREENVILLE LLC	GREENVILLE	TX	$719K
SD CORPUS CHRISTI PLLC	CORPUS CHRISTI	TX	$557K
SD- ROOSEVELT PC	SAN ANTONIO	TX	$314K
SD TEXARKANA	TEXARKANA	TX	$280K
SD- 4315FREDERICK PC	SAN ANTONIO	TX	$218K
SMILEY DENTAL SINGLETON PLLC	DALLAS	TX	$215K
SD- POTRANCO, PC	SAN ANTONIO	TX	$178K
SMILEY DENTAL - UNIVERSITY	DENTON	TX	$114K
SMILEY DENTAL MCCART PLLC	FORT WORTH	TX	$55K
SMILEY DENTAL KEMP PLLC	WICHITA FALLS	TX	$47K
SD MEADOWBROOK PLLC	FORT WORTH	TX	$26K
SD-BRAUN, PC	SAN ANTONIO	TX	$22K
SD-933SCHERTZ PC	SCHERTZ	TX	$22K
SD-HWY 78 PC	SAN ANTONIO	TX	$20K
SD-DEZAVALA PC	SAN ANTONIO	TX	$15K
SMILEY DENTAL LAMAR PLLC	AUSTIN	TX	$12K
SD PARK ROW PLLC	ARLINGTON	TX	$6K
SD HALTOM CITY PLLC	HALTOM CITY	TX	$4K
SD VALLEY MILLS PLLC	WACO	TX	$3K
SD PARK LAKE PLLC	WACO	TX	$2K

Year	Claims	Total Paid
2024	621	$8K

Code	Description	Claims	Beneficiaries	Total Paid
D0230	Intraoral - periapical each additional radiographic image	195	105	$2K
D0150	Comprehensive oral evaluation - new or established patient	68	66	$2K
D1208	Topical application of fluoride, excluding varnish	127	125	$2K
D0220	Intraoral - periapical first radiographic image	107	105	$1K
D1120	Prophylaxis - child	28	28	$771.75
D0120	Periodic oral evaluation - established patient	12	12	$288.50
D0603		63	62	$0.00
D0601		21	20	$0.00