Medicaid Provider Spending

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

GILBERT KIDTASTIC DENTAL LLC

NPI: 1497396170 · GILBERT, AZ 85297 · Pediatric Dentist · NPI assigned 10/03/2019

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

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$481K
Total Medicaid Paid
45,546
Total Claims
39,971
Beneficiaries
20
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date10/03/2019

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
MESA KIDTASTIC DENTAL LLC MESA AZ $1.61M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MESA VALLEY DENTAL LLC MESA AZ $1.24M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K
SOUTHPARK AUSTIN DENTAL PLLC AUSTIN TX $172K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 6,274 $54K
2021 10,442 $89K
2022 10,568 $130K
2023 11,121 $133K
2024 7,141 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 6,596 6,431 $103K
D0120 Periodic oral evaluation - established patient 6,525 6,387 $67K
D1206 Topical application of fluoride varnish 7,727 7,538 $61K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 961 532 $31K
D1351 Sealant - per tooth 2,909 895 $29K
D0272 Bitewings - two radiographic images 2,854 2,788 $25K
D0240 3,400 2,411 $25K
D1110 Prophylaxis - adult 1,262 1,224 $24K
D2391 Resin-based composite - one surface, posterior, primary or permanent 867 539 $24K
D0274 Bitewings - four radiographic images 1,817 1,770 $22K
D0230 Intraoral - periapical each additional radiographic image 1,686 1,170 $13K
D0150 Comprehensive oral evaluation - new or established patient 624 596 $12K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,353 1,242 $12K
D0330 Panoramic radiographic image 579 567 $11K
D0220 Intraoral - periapical first radiographic image 1,887 1,816 $10K
D7140 Extraction, erupted tooth or exposed root 99 57 $4K
D0140 Limited oral evaluation - problem focused 229 220 $3K
D0145 Oral evaluation for a patient under three years of age 168 164 $2K
D3120 152 91 $1K
D0431 3,851 3,533 $0.00