Medicaid Provider Spending

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

CT DENTAL PLLC

NPI: 1467195040 · PLANO, TX 75075 · Dental Clinic/Center · NPI assigned 04/20/2022

$56K
Total Medicaid Paid
3,802
Total Claims
2,645
Beneficiaries
11
Codes Billed
2022-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTAM, LARRY (MANAGING PARTNER)
NPI Enumeration Date04/20/2022

Related Entities

Other providers sharing the same authorized official: TAM, LARRY

ProviderCityStateTotal Paid
CPT DENTAL PLLC GARLAND TX $1.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 524 $11K
2023 1,756 $28K
2024 1,522 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,457 475 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 119 32 $12K
D1208 Topical application of fluoride, excluding varnish 459 441 $6K
D0220 Intraoral - periapical first radiographic image 542 514 $6K
D0120 Periodic oral evaluation - established patient 173 165 $5K
D1120 Prophylaxis - child 128 122 $4K
D0150 Comprehensive oral evaluation - new or established patient 104 101 $4K
D0274 Bitewings - four radiographic images 84 79 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 33 32 $892.55
D1110 Prophylaxis - adult 13 12 $657.46
D0603 690 672 $0.01