RIDGEPOINT DENTAL TX PLLC

NPI: 1437832698 · KELLER, TX 76248 · Dental Clinic/Center · NPI assigned 08/14/2023

$42K

Total Medicaid Paid

2,031

Total Claims

1,311

Beneficiaries

Codes Billed

2023-11

First Month

2024-08

Last Month

Provider Details

Authorized Official	SHALLU, KAMALPREET (DENTIST)
NPI Enumeration Date	08/14/2023

Other providers sharing the same authorized official: SHALLU, KAMALPREET

Provider	City	State	Total Paid
DENTAL ZANIA PLLC	PLANO	TX	$3.73M
DENTAL ZANIA - MESQUITE PLLC	MESQUITE	TX	$2.76M
ROYAL FAMILY DENTISTRY PLLC	LANCASTER	TX	$1.87M
IRVING TX DENTAL PLLC	IRVING	TX	$1.19M
EASTLAND DENTAL PLLC	EASTLAND	TX	$424K
BROWNWOOD TX DENTAL PLLC	BROWNWOOD	TX	$18K
BRECKENRIDGE DENTAL PLLC	BRECKENRIDGE	TX	$8K

Year	Claims	Total Paid
2023	143	$2K
2024	1,888	$39K

Code	Description	Claims	Beneficiaries	Total Paid
D1351	Sealant - per tooth	285	59	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	74	27	$7K
D0150	Comprehensive oral evaluation - new or established patient	205	188	$6K
D0230	Intraoral - periapical each additional radiographic image	493	183	$5K
D0274	Bitewings - four radiographic images	137	128	$4K
D1120	Prophylaxis - child	123	112	$4K
D1208	Topical application of fluoride, excluding varnish	216	201	$3K
D0220	Intraoral - periapical first radiographic image	263	204	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	30	14	$2K
D1110	Prophylaxis - adult	13	12	$603.68
D0603		192	183	$0.00