Medicaid Provider Spending

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

EDINBURG DENTISTRY AND ORTHODONTICS PLLC

NPI: 1487151239 · EDINBURG, TX 78539 · General Practice Dentistry · NPI assigned 04/09/2018

$38K
Total Medicaid Paid
3,554
Total Claims
2,873
Beneficiaries
8
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAMOS, PAOLA (CREDENTIALING COORDINATOR)
NPI Enumeration Date04/09/2018

Related Entities

Other providers sharing the same authorized official: RAMOS, PAOLA

ProviderCityStateTotal Paid
SMYRNA FAMILY DENTISTRY PLLC SMYRNA TN $340K
SMART DENTAL CARE DUTCHTOWN LLC GEISMAR LA $204K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 124 $954.27
2021 1,036 $11K
2022 1,194 $15K
2023 950 $10K
2024 250 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 459 413 $11K
D0230 Intraoral - periapical each additional radiographic image 854 394 $8K
D1208 Topical application of fluoride, excluding varnish 485 444 $6K
D0220 Intraoral - periapical first radiographic image 533 478 $6K
D1110 Prophylaxis - adult 82 70 $4K
D0274 Bitewings - four radiographic images 83 74 $2K
D1120 Prophylaxis - child 50 48 $2K
D0603 1,008 952 $0.00