WHITEWING DENTAL AT LA FERIA,PLLC
NPI: 1609384098
· LA FERIA, TX 78559
· Dentist
· NPI assigned 01/19/2018
$388K
Total Medicaid Paid
Provider Details
| Authorized Official | GRAY, DAVID (OWNER/DENTIST) |
| NPI Enumeration Date | 01/19/2018 |
Related Entities
Other providers sharing the same authorized official: GRAY, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
44 |
$557.32 |
| 2020 |
672 |
$12K |
| 2021 |
6,626 |
$121K |
| 2022 |
7,180 |
$123K |
| 2023 |
3,409 |
$57K |
| 2024 |
3,843 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
2,840 |
2,631 |
$70K |
| D1110 |
|
1,454 |
1,319 |
$68K |
| D0230 |
|
4,743 |
2,417 |
$44K |
| D0274 |
|
1,368 |
1,248 |
$40K |
| D1120 |
|
1,026 |
977 |
$34K |
| D1208 |
|
2,345 |
2,184 |
$31K |
| D0220 |
|
2,607 |
2,418 |
$29K |
| D1351 |
|
738 |
183 |
$18K |
| D0145 |
|
118 |
111 |
$15K |
| D0272 |
|
521 |
487 |
$11K |
| D2392 |
|
73 |
40 |
$7K |
| D2391 |
|
105 |
54 |
$7K |
| D1206 |
|
468 |
461 |
$6K |
| D0210 |
|
94 |
93 |
$6K |
| D0150 |
|
27 |
25 |
$810.98 |
| D1330 |
|
266 |
264 |
$560.50 |
| D0350 |
|
23 |
14 |
$70.00 |
| D0602 |
|
888 |
834 |
$0.00 |
| D0603 |
|
1,943 |
1,844 |
$0.00 |
| D0601 |
|
127 |
121 |
$0.00 |