Medicaid Provider Spending

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

ACCESS DENTAL OF WICHITA FALLS PLLC

NPI: 1558923714 · WICHITA FALLS, TX 76308 · General Practice Dentistry · NPI assigned 07/08/2019

$15K
Total Medicaid Paid
926
Total Claims
883
Beneficiaries
10
Codes Billed
2020-12
First Month
2022-07
Last Month

Provider Details

Authorized OfficialCARRILLO, ANDREA (MANAGER)
NPI Enumeration Date07/08/2019

Related Entities

Other providers sharing the same authorized official: CARRILLO, ANDREA

ProviderCityStateTotal Paid
ACCESS DENTAL OF HARLINGEN PLLC HARLINGEN TX $2.38M
ACCESS DENTAL OF RAYMONDVILLE PLLC RAYMONDVILLE TX $925K
ACCESS DENTAL OF TERRE HAUTE LLC TERRE HAUTE IN $138K
ACCESS DENTAL OF EDINBURG PLLC EDINBURG TX $51K
ACCESS DENTAL OF MCALLEN PLLC MCALLEN TX $24K
ACCESS DENTAL OF PARK ROW, PA ARLINGTON TX $22K
ACCESS DENTAL OF BEAUMONT PLLC BEAUMONT TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 45 $702.39
2021 332 $5K
2022 549 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 145 134 $4K
D1110 Prophylaxis - adult 83 81 $3K
D1208 Topical application of fluoride, excluding varnish 237 225 $3K
D0210 Intraoral - complete series of radiographic images 57 55 $2K
D0120 Periodic oral evaluation - established patient 75 72 $2K
D0350 78 74 $798.68
D0274 Bitewings - four radiographic images 13 13 $278.27
D0603 49 48 $0.00
D0601 79 75 $0.00
D0602 110 106 $0.00