Medicaid Provider Spending

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

CREST FAMILY DENTAL, PLLC

NPI: 1598155574 · GARLAND, TX 75043 · Dentist · NPI assigned 01/29/2015

$176.40
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialLE, LAN CHI (OWNER)
NPI Enumeration Date01/29/2015

Related Entities

Other providers sharing the same authorized official: LE, LAN CHI

ProviderCityStateTotal Paid
SMILEEASY DENTAL WHEATLAND, PLLC DALLAS TX $184K
SMILEEASY DENTAL GRAND PRAIRIE, PLLC GRAND PRAIRIE TX $58K
SMILEEASY DENTAL COCKRELL HILL, PLLC DALLAS TX $35K
SMILEEASY DENTAL PLANO, PLLC PLANO TX $25K
SMILEEASY DENTAL SACHSE, PLLC SACHSE TX $21K
LUMINT FAMILY DENTAL DALLAS TX $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $176.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 12 12 $176.40