Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › SMILE RITE BELLAIRE PLLC

SMILE RITE BELLAIRE PLLC

NPI: 1669885067 · HOUSTON, TX 77081 · General Practice Dentistry · NPI assigned 06/04/2014

$13K
Total Medicaid Paid
772
Total Claims
598
Beneficiaries
7
Codes Billed
2020-12
First Month
2021-06
Last Month

Provider Details

Authorized OfficialNGUYEN, JOHN (PRESIDENT)
NPI Enumeration Date06/04/2014

Related Entities

Other providers sharing the same authorized official: NGUYEN, JOHN

ProviderCityStateTotal Paid
NK OPTOMETRY PLLC BRONX NY $1.78M
JOHN T NGUYEN DDS PA CHANNELVIEW TX $1.10M
SMILE RITE ORLANDO PLLC HOUSTON TX $705K
NGUYENS PHARMACY & GIFTS INC SEATTLE WA $128K
NGUYENS PHARMACY AND GIFTS INC SEATTLE WA $66K
JOHN & ELIZABETH NGUYEN DENTAL CORP LIVERMORE CA $44K
DR JOHN NGUYEN OD AND ASSOCIATES HURST TX $193.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 191 $3K
2021 581 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 79 79 $3K
D1351 Sealant - per tooth 90 26 $2K
D0120 Periodic oral evaluation - established patient 82 81 $2K
D0230 Intraoral - periapical each additional radiographic image 207 102 $2K
D1208 Topical application of fluoride, excluding varnish 106 105 $2K
D0220 Intraoral - periapical first radiographic image 108 105 $1K
D0603 100 100 $0.00