Medicaid Provider Spending

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

SOUTHPARK AUSTIN DENTAL PLLC

NPI: 1548724479 · AUSTIN, TX 78748 · General Practice Dentistry · NPI assigned 01/24/2019

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

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$172K
Total Medicaid Paid
10,022
Total Claims
9,499
Beneficiaries
13
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date01/24/2019

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
MESA KIDTASTIC DENTAL LLC MESA AZ $1.61M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MESA VALLEY DENTAL LLC MESA AZ $1.24M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
GILBERT KIDTASTIC DENTAL LLC GILBERT AZ $481K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 632 $12K
2021 3,725 $65K
2022 2,858 $50K
2023 1,871 $31K
2024 936 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,521 1,452 $40K
D1110 Prophylaxis - adult 524 501 $26K
D1120 Prophylaxis - child 715 682 $23K
D0220 Intraoral - periapical first radiographic image 1,585 1,506 $18K
D0230 Intraoral - periapical each additional radiographic image 1,513 1,407 $16K
D1206 Topical application of fluoride varnish 1,049 1,003 $14K
D0274 Bitewings - four radiographic images 433 410 $13K
D0272 Bitewings - two radiographic images 488 467 $10K
D1208 Topical application of fluoride, excluding varnish 438 416 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 55 24 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 19 12 $1K
D0350 13 13 $55.14
D0603 1,669 1,606 $0.00