Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HIGHLAND VILLAGE › DENTAL DEPOT OF HIGHLAND VILLAGE

DENTAL DEPOT OF HIGHLAND VILLAGE

NPI: 1669927307 · HIGHLAND VILLAGE, TX 75077 · Dentist · NPI assigned 08/23/2016

$214.90
Total Medicaid Paid
63
Total Claims
58
Beneficiaries
3
Codes Billed
2023-08
First Month
2024-03
Last Month

Provider Details

Authorized OfficialKANA, HIMESH (CEO)
Parent OrganizationDENTAL DEPOT
NPI Enumeration Date08/23/2016

Related Entities

Other providers sharing the same authorized official: KANA, HIMESH

ProviderCityStateTotal Paid
THE MAIN STREET DENTAL DEPOT, PLLC THE COLONY TX $92K
DENTAL DEPOT OF LITTLE ELM, PLLC AUBREY TX $73K
DENTAL DEPOT OF LEWISVILLE, PLLC LEWISVILLE TX $29K
DENTAL DEPOT OF MCKINNEY PLLC MCKINNEY TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $0.00
2024 50 $214.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 18 16 $141.40
D1206 Topical application of fluoride varnish 15 13 $73.50
D0603 30 29 $0.00