Medicaid Provider Spending

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

SAGE DENTAL-PEARLAND PLLC

NPI: 1467732073 · PEARLAND, TX 77581 · Dentist · NPI assigned 08/26/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$417K
Total Medicaid Paid
22,292
Total Claims
18,865
Beneficiaries
17
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date08/26/2011

Related Entities

Other providers sharing the same authorized official: PU, MARY

ProviderCityStateTotal Paid
RED ROCK DENTAL-FARMINGTON IRVING TX $3.59M
SAGE DENTAL BAYTOWN TX $2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC ALBUQUERQUE NM $2.14M
SAGE DENTAL-DEER PARK PLLC LA PORTE TX $1.87M
VINH NGO DENTISTRY PLLC VICTORIA TX $1.65M
ELEMENT DENTAL-BRYAN PLLC BRYAN TX $1.57M
FUSION DENTAL IRVING TX $1.49M
ELEMENT DENTAL-CONROE PLLC IRVING TX $1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC PORT ARTHUR TX $1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC ALBUQUERQUE NM $1.29M
FRESH DENTAL-SHREVEPORT IRVING TX $1.27M
FRESH DENTAL-BOSSIER CITY IRVING TX $1.21M
PEPPERMINT DENTAL-SHERMAN PLLC SHERMAN TX $1.17M
ELEMENT DENTAL PLLC LUFKIN TX $1.06M
RIO DENTAL AND ORTHODONTICS LLC RIO RANCHO NM $1.00M
ELEMENT DENTAL-HUMBLE PLLC HUMBLE TX $942K
GULFSIDE DENTAL BEAUMONT TX $939K
LEGEND DENTAL-GEORGETOWN GEORGETOWN TX $919K
BLISS DENTAL PLLC ODESSA TX $827K
BLISS DENTAL LUBBOCK PLLC LUBBOCK TX $826K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $191.10
2020 333 $5K
2021 6,034 $108K
2022 5,533 $104K
2023 6,108 $126K
2024 4,271 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 2,614 2,523 $71K
D1120 Prophylaxis - child 1,642 1,590 $56K
D1110 Prophylaxis - adult 1,082 1,040 $54K
D0274 Bitewings - four radiographic images 1,397 1,341 $43K
D0230 Intraoral - periapical each additional radiographic image 4,146 2,614 $42K
D1351 Sealant - per tooth 1,405 200 $39K
D1206 Topical application of fluoride varnish 2,682 2,586 $37K
D0220 Intraoral - periapical first radiographic image 2,842 2,732 $32K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 227 125 $21K
D2391 Resin-based composite - one surface, posterior, primary or permanent 119 81 $9K
D0145 Oral evaluation for a patient under three years of age 39 38 $5K
D1208 Topical application of fluoride, excluding varnish 190 186 $3K
D0272 Bitewings - two radiographic images 91 88 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 72 68 $2K
D0210 Intraoral - complete series of radiographic images 25 24 $1K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $953.64
D0603 3,692 3,602 $0.00