Medicaid Provider Spending

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

ALLHEART DENTAL DALLAS, PLLC

NPI: 1649928953 · DALLAS, TX 75231 · Dentist · NPI assigned 03/15/2022

$26K
Total Medicaid Paid
560
Total Claims
294
Beneficiaries
12
Codes Billed
2022-10
First Month
2023-06
Last Month

Provider Details

Authorized OfficialXIAO, DA (MANAGING MEMEBER)
NPI Enumeration Date03/15/2022

Related Entities

Other providers sharing the same authorized official: XIAO, DA

ProviderCityStateTotal Paid
ALLHEART DENTAL, PLLC RED OAK TX $1.38M
ALLHEART DENTAL ARLINGTON, PLLC ARLINGTON TX $851K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 42 $1K
2023 518 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 109 29 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 80 17 $8K
D1351 Sealant - per tooth 103 14 $3K
D0150 Comprehensive oral evaluation - new or established patient 68 62 $2K
D2331 35 14 $2K
D0210 Intraoral - complete series of radiographic images 15 15 $1K
D0330 Panoramic radiographic image 49 47 $787.57
D1120 Prophylaxis - child 18 17 $621.75
D1208 Topical application of fluoride, excluding varnish 36 35 $503.10
D0272 Bitewings - two radiographic images 19 17 $161.38
D0602 15 14 $0.00
D0603 13 13 $0.00