Medicaid Provider Spending

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

CYPRESS SMILE DENTAL

NPI: 1528846029 · CYPRESS, TX 77433 · Clinic/Center · NPI assigned 09/18/2023

$3K
Total Medicaid Paid
286
Total Claims
259
Beneficiaries
6
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOGRI, ALIASGAR (OWNER)
NPI Enumeration Date09/18/2023

Related Entities

Other providers sharing the same authorized official: MOGRI, ALIASGAR

ProviderCityStateTotal Paid
ALIASGAR Y MOGRI DDS PA CYPRESS TX $787K
TEXAS PREMIER DENTAL CYPRESS TX $216K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 286 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 42 37 $923.20
D1208 Topical application of fluoride, excluding varnish 63 57 $764.40
D0220 Intraoral - periapical first radiographic image 59 54 $602.88
D1120 Prophylaxis - child 16 16 $551.25
D0230 Intraoral - periapical each additional radiographic image 43 38 $391.34
D0602 63 57 $0.00