Medicaid Provider Spending

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

NAVO DENTAL PROFESSIONALS PC

NPI: 1679048292 · AUBREY, TX 76227 · Dentist · NPI assigned 10/10/2018

$14K
Total Medicaid Paid
1,494
Total Claims
1,248
Beneficiaries
8
Codes Billed
2021-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIM, KELLY (OWNER DENTIST)
NPI Enumeration Date10/10/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 148 $2K
2022 475 $4K
2023 524 $5K
2024 347 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 405 214 $4K
D0220 Intraoral - periapical first radiographic image 278 261 $3K
D0120 Periodic oral evaluation - established patient 101 96 $3K
D1120 Prophylaxis - child 70 66 $2K
D1206 Topical application of fluoride varnish 118 106 $1K
D1208 Topical application of fluoride, excluding varnish 54 53 $762.93
D0150 Comprehensive oral evaluation - new or established patient 13 13 $459.16
D0603 455 439 $0.00