Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAGER DENTAL PLLC

NPI: 1639529654 · TEXAS CITY, TX 77590 · General Practice Dentistry · NPI assigned 06/21/2016

$57K
Total Medicaid Paid
3,486
Total Claims
3,452
Beneficiaries
9
Codes Billed
2020-11
First Month
2022-02
Last Month

Provider Details

Authorized OfficialSTUMP, JENELL (MANAGER)
NPI Enumeration Date06/21/2016

Related Entities

Other providers sharing the same authorized official: STUMP, JENELL

ProviderCityStateTotal Paid
AKRON SMILES YOUTH DENTISTRY LLC MICHAEL CRITES, DDS AKRON OH $10.24M
THE INDIAN SPRINGS DENTAL CLINIC, LLC KANSAS CITY KS $1.94M
SMALL SMILES OF WICHITA, LLC WICHITA KS $576K
COMMUNITY CARE OF KENTUCKY INC. LOUISVILLE KY $576K
TOPEKA DENTAL CLINIC, LLC TOPEKA KS $235K
ADVANTAGE DENTAL ORAL HEALTH CENTER OF MASSACHUSETTS, PC WESTBOROUGH MA $143K
YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS YOUNGSTOWN OH $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 155 $2K
2021 3,016 $50K
2022 315 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 519 513 $14K
D1120 Prophylaxis - child 428 422 $13K
D1206 Topical application of fluoride varnish 529 524 $7K
D0274 Bitewings - four radiographic images 210 210 $6K
D0220 Intraoral - periapical first radiographic image 456 450 $5K
D0272 Bitewings - two radiographic images 226 226 $5K
D0230 Intraoral - periapical each additional radiographic image 444 440 $4K
D0330 Panoramic radiographic image 69 69 $2K
D0603 605 598 $0.00