Medicaid Provider Spending

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

EAST 111 FAMILY DENTISTRY PLLC

NPI: 1649881582 · BIXBY, OK 74008 · General Practice Dentistry · NPI assigned 08/13/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$81K
Total Medicaid Paid
3,050
Total Claims
2,939
Beneficiaries
12
Codes Billed
2021-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date08/13/2020

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
MESA KIDTASTIC DENTAL LLC MESA AZ $1.61M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MESA VALLEY DENTAL LLC MESA AZ $1.24M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
GILBERT KIDTASTIC DENTAL LLC GILBERT AZ $481K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 271 $5K
2022 1,632 $51K
2023 1,147 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 513 513 $20K
D0120 Periodic oral evaluation - established patient 932 932 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 158 88 $14K
D1206 Topical application of fluoride varnish 427 427 $6K
D0274 Bitewings - four radiographic images 214 214 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 45 27 $5K
D1120 Prophylaxis - child 198 198 $5K
D0220 Intraoral - periapical first radiographic image 284 278 $4K
D1208 Topical application of fluoride, excluding varnish 167 167 $2K
D0140 Limited oral evaluation - problem focused 27 27 $695.89
D0230 Intraoral - periapical each additional radiographic image 73 56 $450.54
D0272 Bitewings - two radiographic images 12 12 $183.00