Medicaid Provider Spending

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

AL DENTAL PC

NPI: 1437521911 · CYPRESS, TX 77433 · Dentist · NPI assigned 10/23/2015

$18K
Total Medicaid Paid
1,560
Total Claims
1,534
Beneficiaries
7
Codes Billed
2021-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDO, LONG (PRESIDENT)
NPI Enumeration Date10/23/2015

Related Entities

Other providers sharing the same authorized official: DO, LONG

ProviderCityStateTotal Paid
20 20 ICARE, PLLC KILLEEN TX $158K
EVEREST DENTAL, PA SPRING TX $77K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 170 $1K
2022 479 $6K
2023 434 $5K
2024 477 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 296 292 $4K
D0220 Intraoral - periapical first radiographic image 303 298 $3K
D1120 Prophylaxis - child 91 91 $3K
D0230 Intraoral - periapical each additional radiographic image 291 282 $3K
D0120 Periodic oral evaluation - established patient 101 99 $3K
D0274 Bitewings - four radiographic images 44 43 $1K
D0601 434 429 $0.02