Medicaid Provider Spending

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

OCEANSIDE DENTAL ART LP

NPI: 1427369750 · BROWNSVILLE, TX 78520 · Dentist · NPI assigned 07/01/2010

$19K
Total Medicaid Paid
1,054
Total Claims
933
Beneficiaries
7
Codes Billed
2020-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialPHAM, DIEP (OWNER)
NPI Enumeration Date07/01/2010

Related Entities

Other providers sharing the same authorized official: PHAM, DIEP

ProviderCityStateTotal Paid
DIEP PHAM DDS, INC LAKE JACKSON TX $371K
LEXINGTON DENTAL CENTER MISSOURI CITY TX $38K
DIEP PHAM DDS PA HOUSTON TX $152.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 109 $2K
2021 577 $11K
2022 368 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 117 116 $6K
D0120 Periodic oral evaluation - established patient 125 119 $3K
D0220 Intraoral - periapical first radiographic image 261 250 $3K
D1208 Topical application of fluoride, excluding varnish 195 187 $3K
D0230 Intraoral - periapical each additional radiographic image 278 184 $3K
D0274 Bitewings - four radiographic images 53 52 $2K
D0602 25 25 $0.00