CAMP BOWIE SMILES PLLC

NPI: 1518496231 · FORT WORTH, TX 76116 · General Practice Dentistry · NPI assigned 06/06/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official THAKKAR, DHAVAL controls 20+ related entities in our dataset. Read more

$15K

Total Medicaid Paid

1,336

Total Claims

964

Beneficiaries

Codes Billed

2021-07

First Month

2023-02

Last Month

Provider Details

Authorized Official	THAKKAR, DHAVAL (MEMBER)
NPI Enumeration Date	06/06/2017

Other providers sharing the same authorized official: THAKKAR, DHAVAL

Provider	City	State	Total Paid
PORT ARTHUR SMILES INC	PORT ARTHUR	TX	$2.21M
ORANGE SMILES INC	WEST ORANGE	TX	$1.78M
WILLIS FAMILY DENTAL PLLC	HUMBLE	TX	$1.41M
GUN BARREL SMILES PLLC	GUN BARREL CITY	TX	$1.13M
HENDERSON SMILES PLLC	HUMBLE	TX	$1.07M
MEXIA DENTAL PLLC	MEXIA	TX	$1.01M
SANTA FE DENTAL PLLC	HUMBLE	TX	$932K
LINDALE SMILES	LINDALE	TX	$664K
ALVIN FAMILY DENTAL	ALVIN	TX	$613K
3CDENTAL ORANGE PLLC	ORANGE	TX	$605K
POTRANCO SMILES PLLC	HUMBLE	TX	$201K
CASTROVILLE DENTAL PLLC	CASTROVILLE	TX	$162K
MARBACH SMILES PLLC	SAN ANTONIO,	TX	$159K
CONVERSE SMILES PLLC	SAN ANTONIO	TX	$45K
SHAENFIELD DENTAL PLLC	SAN ANTONIO	TX	$42K
CANYON LAKE DENTAL PLLC	CANYON LAKE	TX	$32K
GLOSS DENTAL OF ROSENBERG PLLC	ROSENBERG	TX	$29K
ROSHARON SMILES PLLC	ROSHARON	TX	$12K
GLOSS DENTAL	HOUSTON	TX	$837.46
MIDWAY CROSSING SMILES	DALLAS	TX	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
D0230	Intraoral - periapical each additional radiographic image	501	175	$4K
D0120	Periodic oral evaluation - established patient	96	92	$3K
D1120	Prophylaxis - child	70	67	$2K
D0220	Intraoral - periapical first radiographic image	208	190	$2K
D1208	Topical application of fluoride, excluding varnish	125	116	$2K
D1206	Topical application of fluoride varnish	80	80	$1K
D1110	Prophylaxis - adult	16	16	$812.22
D0274	Bitewings - four radiographic images	16	16	$481.08
D0603		211	199	$0.00
D0602		13	13	$0.00