Medicaid Provider Spending

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

COMFORT SMILES NRH PLLC

NPI: 1487219705 · COMMERCE, TX 75428 · General Practice Dentistry · NPI assigned 05/02/2019

$62K
Total Medicaid Paid
4,116
Total Claims
3,078
Beneficiaries
14
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNAMINENI, DEEPTI (MANAGING MEMBER)
NPI Enumeration Date05/02/2019

Related Entities

Other providers sharing the same authorized official: NAMINENI, DEEPTI

ProviderCityStateTotal Paid
SIMPLE DENTIST PLLC GRAND PRAIRIE TX $133K
10X SMILES PLLC ARLINGTON TX $2K
COMFORT SMILES 9 PLLC FORT WORTH TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 66 $440.33
2021 1,328 $26K
2022 1,215 $17K
2023 970 $13K
2024 537 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 229 201 $11K
D0120 Periodic oral evaluation - established patient 319 281 $8K
D0230 Intraoral - periapical each additional radiographic image 743 311 $7K
D0274 Bitewings - four radiographic images 281 255 $7K
D1351 Sealant - per tooth 282 38 $7K
D1208 Topical application of fluoride, excluding varnish 427 400 $6K
D0150 Comprehensive oral evaluation - new or established patient 185 154 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 38 13 $4K
D0220 Intraoral - periapical first radiographic image 370 321 $4K
D1120 Prophylaxis - child 68 66 $2K
D0330 Panoramic radiographic image 15 13 $687.05
D1206 Topical application of fluoride varnish 27 26 $385.50
D0603 1,093 961 $243.32
D0602 39 38 $0.00