Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › ODESSA › EAST ODESSA DENTAL AND ORTHODONTICS PLLC

EAST ODESSA DENTAL AND ORTHODONTICS PLLC

NPI: 1588112338 · ODESSA, TX 79762 · Dentist · NPI assigned 09/21/2016

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

Authorized official PU, MARY controls 20+ related entities in our dataset. Read more

$58K
Total Medicaid Paid
3,854
Total Claims
3,147
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-03
Last Month

Provider Details

Authorized OfficialPU, MARY (VP OF FINANCE)
NPI Enumeration Date09/21/2016

Related Entities

Other providers sharing the same authorized official: PU, MARY

ProviderCityStateTotal Paid
RED ROCK DENTAL-FARMINGTON IRVING TX $3.59M
SAGE DENTAL BAYTOWN TX $2.35M
PEPPERMINT DENTAL-MONTGOMERY LLC ALBUQUERQUE NM $2.14M
SAGE DENTAL-DEER PARK PLLC LA PORTE TX $1.87M
VINH NGO DENTISTRY PLLC VICTORIA TX $1.65M
ELEMENT DENTAL-BRYAN PLLC BRYAN TX $1.57M
FUSION DENTAL IRVING TX $1.49M
ELEMENT DENTAL-CONROE PLLC IRVING TX $1.49M
GULFSIDE DENTAL PORT ARTHUR PLLC PORT ARTHUR TX $1.39M
PEPPERMINT DENTAL-RIO BRAVO LLC ALBUQUERQUE NM $1.29M
FRESH DENTAL-SHREVEPORT IRVING TX $1.27M
FRESH DENTAL-BOSSIER CITY IRVING TX $1.21M
PEPPERMINT DENTAL-SHERMAN PLLC SHERMAN TX $1.17M
ELEMENT DENTAL PLLC LUFKIN TX $1.06M
RIO DENTAL AND ORTHODONTICS LLC RIO RANCHO NM $1.00M
ELEMENT DENTAL-HUMBLE PLLC HUMBLE TX $942K
GULFSIDE DENTAL BEAUMONT TX $939K
LEGEND DENTAL-GEORGETOWN GEORGETOWN TX $919K
BLISS DENTAL PLLC ODESSA TX $827K
BLISS DENTAL LUBBOCK PLLC LUBBOCK TX $826K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 273 $5K
2021 1,553 $23K
2022 1,906 $28K
2023 29 $0.00
2024 93 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 343 326 $11K
D0120 Periodic oral evaluation - established patient 430 401 $11K
D0230 Intraoral - periapical each additional radiographic image 976 457 $9K
D1110 Prophylaxis - adult 164 144 $7K
D0220 Intraoral - periapical first radiographic image 556 518 $6K
D1208 Topical application of fluoride, excluding varnish 466 438 $6K
D0145 Oral evaluation for a patient under three years of age 29 29 $4K
D0150 Comprehensive oral evaluation - new or established patient 57 55 $2K
D0274 Bitewings - four radiographic images 52 44 $2K
D1206 Topical application of fluoride varnish 105 96 $1K
D0603 398 379 $0.00
D0601 253 235 $0.00
D0602 25 25 $0.00