Medicaid Provider Spending

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

TEXAS DENTAL ASSOCIATES, PA

NPI: 1437603677 · HOUSTON, TX 77027 · Dentist · NPI assigned 08/04/2016

$5K
Total Medicaid Paid
203
Total Claims
189
Beneficiaries
7
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDRESS, DONALD (OWNER)
NPI Enumeration Date08/04/2016

Related Entities

Other providers sharing the same authorized official: ANDRESS, DONALD

ProviderCityStateTotal Paid
TEXAS DENTAL ASSOCIATES, PA SPRING TX $105K
TEXAS DENTAL ASSOCIATES PA HUMBLE TX $73K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 203 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 24 24 $3K
D1120 Prophylaxis - child 18 18 $624.75
D0120 Periodic oral evaluation - established patient 16 16 $461.60
D0220 Intraoral - periapical first radiographic image 28 28 $339.12
D0230 Intraoral - periapical each additional radiographic image 28 15 $310.77
D1208 Topical application of fluoride, excluding varnish 19 19 $264.60
D0603 70 69 $0.00