Medicaid Provider Spending

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

BRECKENRIDGE DENTAL PLLC

NPI: 1588259840 · BRECKENRIDGE, TX 76424 · Dental Clinic/Center · NPI assigned 03/08/2021

$8K
Total Medicaid Paid
571
Total Claims
386
Beneficiaries
8
Codes Billed
2021-10
First Month
2023-03
Last Month

Provider Details

Authorized OfficialSHALLU, KAMALPREET (OWNER/DENTIST)
NPI Enumeration Date03/08/2021

Related Entities

Other providers sharing the same authorized official: SHALLU, KAMALPREET

ProviderCityStateTotal Paid
DENTAL ZANIA PLLC PLANO TX $3.73M
DENTAL ZANIA - MESQUITE PLLC MESQUITE TX $2.76M
ROYAL FAMILY DENTISTRY PLLC LANCASTER TX $1.87M
IRVING TX DENTAL PLLC IRVING TX $1.19M
EASTLAND DENTAL PLLC EASTLAND TX $424K
RIDGEPOINT DENTAL TX PLLC KELLER TX $42K
BROWNWOOD TX DENTAL PLLC BROWNWOOD TX $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 174 $2K
2022 259 $3K
2023 138 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 287 102 $3K
D0220 Intraoral - periapical first radiographic image 106 106 $1K
D1208 Topical application of fluoride, excluding varnish 75 75 $1K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $883.00
D1120 Prophylaxis - child 17 17 $624.75
D0120 Periodic oral evaluation - established patient 15 15 $432.75
D0603 13 13 $0.00
D0601 33 33 $0.00