Medicaid Provider Spending

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

EPIC FAMILY DENTISTRY, PLLC

NPI: 1679011241 · GARLAND, TX 75041 · General Practice Dentistry · NPI assigned 02/03/2017

$27K
Total Medicaid Paid
1,933
Total Claims
1,642
Beneficiaries
10
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAZMOODEH, AFSHIN (PRESIDENT)
NPI Enumeration Date02/03/2017

Related Entities

Other providers sharing the same authorized official: AZMOODEH, AFSHIN

ProviderCityStateTotal Paid
LEGACY TRAILS DENTAL, PLLC PLANO TX $17K
CANYON CREEK FAMILY DENTISTRY, P.A. RICHARDSON TX $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 444 $10K
2022 424 $5K
2023 791 $9K
2024 274 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 51 14 $5K
D0120 Periodic oral evaluation - established patient 162 159 $4K
D0230 Intraoral - periapical each additional radiographic image 411 256 $4K
D1208 Topical application of fluoride, excluding varnish 298 292 $4K
D0220 Intraoral - periapical first radiographic image 277 270 $3K
D0274 Bitewings - four radiographic images 82 80 $2K
D1120 Prophylaxis - child 61 59 $2K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $956.32
D1110 Prophylaxis - adult 13 13 $659.68
D0602 550 471 $0.00