Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › PALMHURST › GROWING SMILES CONWAY

GROWING SMILES CONWAY

NPI: 1639674179 · PALMHURST, TX 78573 · Pediatric Dentist · NPI assigned 03/27/2018

$9K
Total Medicaid Paid
792
Total Claims
785
Beneficiaries
5
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMOHAMED, CARLOS (OWNER)
NPI Enumeration Date03/27/2018

Related Entities

Other providers sharing the same authorized official: MOHAMED, CARLOS

ProviderCityStateTotal Paid
GROWING SMILES CHILDREN'S DENTAL CENTER MCALLEN TX $8.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 34 $375.05
2021 141 $690.90
2022 282 $4K
2023 151 $2K
2024 184 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 102 101 $4K
D0120 Periodic oral evaluation - established patient 111 110 $3K
D1208 Topical application of fluoride, excluding varnish 112 111 $2K
D0272 Bitewings - two radiographic images 12 12 $233.80
D0603 455 451 $0.00