IDEAL DENTAL OF FORT WORTH, PLLC

NPI: 1437407392 · FORT WORTH, TX 76244 · General Practice Dentistry · NPI assigned 08/27/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ALLES, RODNEY controls 17+ related entities in our dataset. Read more

$3K

Total Medicaid Paid

221

Total Claims

218

Beneficiaries

Codes Billed

2021-02

First Month

2022-04

Last Month

Provider Details

Authorized Official	ALLES, RODNEY (OWNER)
NPI Enumeration Date	08/27/2012

Other providers sharing the same authorized official: ALLES, RODNEY

Provider	City	State	Total Paid
ALLES & ASSOCIATES NORTH CAROLINA	HOPE MILLS	NC	$605K
ALLES & ASSOCIATES NORTH CAROLINA	WINSTON SALEM	NC	$584K
ALLES & ASSOCIATES NORTH CAROLINA	CHARLOTTE	NC	$425K
ALLES DDS HUNTERSVILLE PLLC	HUNTERSVILLE	NC	$388K
ALLES & ASSOCIATES NORTH CAROLINA	FAYETTEVILLE	NC	$365K
ALLES & ASSOCIATES NORTH CAROLINA	WILSON	NC	$277K
ALLES & ASSOCIATES NORTH CAROLINA	HIGH POINT	NC	$258K
ALLES DDS KANNAPOLIS PLLC	KANNAPOLIS	NC	$191K
IDEAL DENTAL GALLATIN PLLC	GALLATIN	TN	$171K
IDEAL DENTAL OF MURFREESBORO PLLC	MURFREESBORO	TN	$164K
IDEAL DENTAL SMYRNA PLLC	SMYRNA	TN	$60K
ALLES DDS WAKE FOREST PLLC	WAKE FOREST	NC	$37K
ALLES & ASSOCIATES NORTH CAROLINA	MORRISVILLE	NC	$30K
IDEAL DENTAL OF MELROSE PLLC	NASHVILLE	TN	$15K
IDEAL DENTAL OF BAYTOWN PLLC	BAYTOWN	TX	$1K
MILESTONE DENTAL OF NORTHLAKE PLLC	NORTHLAKE	TX	$1K
IDEAL DENTAL OF SUGARLAND PLLC	SUGAR LAND	TX	$407.73

Year	Claims	Total Paid
2021	97	$1K
2022	124	$1K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	52	52	$1K
D1208	Topical application of fluoride, excluding varnish	40	40	$529.20
D0220	Intraoral - periapical first radiographic image	40	39	$401.92
D0230	Intraoral - periapical each additional radiographic image	40	39	$368.32
D0274	Bitewings - four radiographic images	12	12	$207.66
D0601		24	24	$0.00
D0350		13	12	$0.00