Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT WORTH › COMFORT SMILES 9 PLLC

COMFORT SMILES 9 PLLC

NPI: 1427620095 · FORT WORTH, TX 76116 · Dentist · NPI assigned 07/13/2021

$2K
Total Medicaid Paid
227
Total Claims
203
Beneficiaries
5
Codes Billed
2022-10
First Month
2024-02
Last Month

Provider Details

Authorized OfficialNAMINENI, DEEPTI (MANAGING MEMBER)
NPI Enumeration Date07/13/2021

Related Entities

Other providers sharing the same authorized official: NAMINENI, DEEPTI

ProviderCityStateTotal Paid
SIMPLE DENTIST PLLC GRAND PRAIRIE TX $133K
COMFORT SMILES NRH PLLC COMMERCE TX $62K
10X SMILES PLLC ARLINGTON TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 32 $125.60
2023 132 $981.75
2024 63 $523.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 51 51 $505.28
D0230 Intraoral - periapical each additional radiographic image 50 26 $483.91
D1208 Topical application of fluoride, excluding varnish 31 31 $441.36
D1206 Topical application of fluoride varnish 13 13 $167.00
D0603 82 82 $33.00