Medicaid Provider Spending

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

PROACT DENTAL, INC.

NPI: 1497837553 · BIRMINGHAM, AL 35212 · General Practice Dentistry · NPI assigned 10/19/2006

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

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$9.47M
Total Medicaid Paid
331,770
Total Claims
283,565
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (PRESIDENT)
NPI Enumeration Date10/19/2006

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
PRESTIGE HEALTHCARE RESOURCES INC. BLADENSBURG MD $55.74M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
LIGHTHOUSE SYSTEMS, LLC PHARR TX $3.54M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
OLD SCHOOL LLC LAKEWOOD OH $800K
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE FRESNO CA $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,921 $1.34M
2019 42,413 $1.19M
2020 42,418 $1.15M
2021 54,971 $1.61M
2022 49,593 $1.40M
2023 46,977 $1.35M
2024 43,477 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17,359 9,758 $1.30M
D1120 Prophylaxis - child 32,603 31,395 $886K
D0120 Periodic oral evaluation - established patient 46,038 44,279 $830K
D2930 Prefabricated stainless steel crown - primary tooth 8,240 4,544 $788K
D1208 Topical application of fluoride, excluding varnish 46,136 44,353 $653K
D1999 31,261 28,511 $606K
D0330 Panoramic radiographic image 11,265 10,738 $506K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 24,327 21,154 $501K
D1110 Prophylaxis - adult 13,157 12,609 $464K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,317 5,308 $444K
D1354 14,631 5,237 $371K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4,073 2,701 $352K
D7140 Extraction, erupted tooth or exposed root 6,374 4,222 $342K
D0272 Bitewings - two radiographic images 19,693 19,000 $332K
D1351 Sealant - per tooth 9,826 3,346 $221K
D0274 Bitewings - four radiographic images 9,445 9,054 $212K
D1206 Topical application of fluoride varnish 11,610 11,042 $192K
D0140 Limited oral evaluation - problem focused 3,249 3,047 $87K
D0150 Comprehensive oral evaluation - new or established patient 3,400 3,182 $79K
D0220 Intraoral - periapical first radiographic image 6,335 5,991 $66K
D7230 344 89 $57K
D3120 1,796 1,214 $42K
D1510 271 252 $40K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 407 304 $29K
D0145 Oral evaluation for a patient under three years of age 1,195 1,146 $26K
D2330 304 207 $18K
D2335 113 51 $11K
D0230 Intraoral - periapical each additional radiographic image 841 720 $8K
D1515 20 15 $4K
D2332 14 12 $1K
D0240 43 40 $615.60
D9999 Unspecified adjunctive procedure, by report 83 44 $0.00