Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › ENNIS › ENNIS FAMILY DENTISTRY PLLC

ENNIS FAMILY DENTISTRY PLLC

NPI: 1508238890 · ENNIS, TX 75119 · Dentist · NPI assigned 10/26/2015

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

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

$45K
Total Medicaid Paid
3,404
Total Claims
2,618
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date10/26/2015

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
2020 13 $0.00
2021 795 $8K
2022 934 $14K
2023 1,030 $13K
2024 632 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 895 344 $9K
D0120 Periodic oral evaluation - established patient 264 257 $7K
D1206 Topical application of fluoride varnish 513 495 $7K
D1351 Sealant - per tooth 199 25 $5K
D1110 Prophylaxis - adult 98 98 $5K
D0220 Intraoral - periapical first radiographic image 370 359 $4K
D0274 Bitewings - four radiographic images 102 98 $3K
D0210 Intraoral - complete series of radiographic images 29 29 $2K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $953.64
D1120 Prophylaxis - child 28 26 $882.00
D1208 Topical application of fluoride, excluding varnish 40 40 $529.20
D0603 839 820 $0.06