Medicaid Provider Spending

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

CALTEX DENTAL

NPI: 1508932716 · HOUSTON, TX 77077 · General Practice Dentistry · NPI assigned 11/28/2006

$34K
Total Medicaid Paid
2,347
Total Claims
2,325
Beneficiaries
12
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVO, PHUONG (CEO)
Parent OrganizationCALTEX DENTAL PA
NPI Enumeration Date11/28/2006

Related Entities

Other providers sharing the same authorized official: VO, PHUONG

ProviderCityStateTotal Paid
PHUONG THANH VO MD APMC MARRERO LA $40K
CALTEX DENTAL HOUSTON TX $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 85 $1K
2021 957 $14K
2022 775 $12K
2023 262 $4K
2024 268 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 485 483 $14K
D1208 Topical application of fluoride, excluding varnish 592 583 $8K
D0274 Bitewings - four radiographic images 166 166 $5K
D1120 Prophylaxis - child 110 110 $4K
D1110 Prophylaxis - adult 38 38 $2K
D0272 Bitewings - two radiographic images 26 26 $558.32
D0220 Intraoral - periapical first radiographic image 40 40 $427.04
D0230 Intraoral - periapical each additional radiographic image 30 28 $310.77
D1330 586 577 $24.75
D0601 146 146 $12.00
D0602 116 116 $0.00
D0603 12 12 $0.00