WACO FAMILY DENTAL PLLC

NPI: 1578211033 · BELLMEAD, TX 76705 · Dental Clinic/Center · NPI assigned 03/14/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JENNINGS, WILLIAM controls 11+ related entities in our dataset. Read more

$71K

Total Medicaid Paid

4,533

Total Claims

4,085

Beneficiaries

Codes Billed

2024-05

First Month

2024-12

Last Month

Provider Details

Authorized Official	JENNINGS, WILLIAM (OWNER)
NPI Enumeration Date	03/14/2022

Other providers sharing the same authorized official: JENNINGS, WILLIAM

Provider	City	State	Total Paid
MARIETTA FAMILY DENTISTRY	MARIETTA	OK	$299K
MARSHALL FAMILY DENTAL PLLC	MARSHALL	TX	$124K
SMILELAND FAMILY DENTAL	SAN ANTONIO	TX	$118K
ARDMORE FAMILY DENTISTRY	ARDMORE	OK	$112K
BROADWAY FAMILY DENTAL PLLC	GALVESTON	TX	$37K
MADILL FAMILY DENTISTRY PLLC	MADILL	OK	$8K
CLEAR CREEK FAMILY DENTAL	HARKER HEIGHTS	TX	$7K
ROBBY JENNINGS DENTAL	TYLER	TX	$4K
GROESBECK FAMILY DENTAL	GROESBECK	TX	$4K
HEWITT FAMILY DENTAL	WOODWAY	TX	$4K
LOCHWOOD FAMILY DENTAL PLLC	DALLAS	TX	$0.00

Year	Claims	Total Paid
2024	4,533	$71K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	769	731	$13K
D1110	Prophylaxis - adult	385	370	$12K
D1120	Prophylaxis - child	507	486	$11K
D1351	Sealant - per tooth	353	70	$9K
D1208	Topical application of fluoride, excluding varnish	886	846	$8K
D0210	Intraoral - complete series of radiographic images	114	108	$6K
D0274	Bitewings - four radiographic images	220	213	$4K
D0272	Bitewings - two radiographic images	255	246	$4K
D0150	Comprehensive oral evaluation - new or established patient	63	61	$2K
D0330	Panoramic radiographic image	18	16	$730.02
D0140	Limited oral evaluation - problem focused	46	46	$711.76
D0220	Intraoral - periapical first radiographic image	26	26	$249.94
D0603		891	866	$0.00