Medicaid Provider Spending

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

ROUND GROVE FAMILY DENTISTRY

NPI: 1669928073 · LEWISVILLE, TX 75067 · General Practice Dentistry · NPI assigned 08/27/2016

$7K
Total Medicaid Paid
465
Total Claims
421
Beneficiaries
6
Codes Billed
2021-05
First Month
2024-07
Last Month

Provider Details

Authorized OfficialJAMES, RANI (OWNER/PARTNER)
NPI Enumeration Date08/27/2016

Related Entities

Other providers sharing the same authorized official: JAMES, RANI

ProviderCityStateTotal Paid
CARE 'N' CURE DENTAL PLLC GARLAND TX $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 79 $1K
2022 149 $2K
2023 143 $2K
2024 94 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 79 78 $2K
D1208 Topical application of fluoride, excluding varnish 161 151 $2K
D1120 Prophylaxis - child 39 39 $1K
D0230 Intraoral - periapical each additional radiographic image 93 63 $989.86
D0220 Intraoral - periapical first radiographic image 67 64 $791.28
D0603 26 26 $0.00