Medicaid Provider Spending

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

JOYOUS SMILES PEDIATRIC DENTISTRY PLLC

NPI: 1699470989 · KATY, TX 77494 · Dental Clinic/Center · NPI assigned 04/04/2023

$38K
Total Medicaid Paid
2,065
Total Claims
1,450
Beneficiaries
10
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPALACIOS, GABRIELA (OWNER)
NPI Enumeration Date04/04/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 184 $2K
2024 1,881 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 103 99 $14K
D1120 Prophylaxis - child 187 176 $6K
D0230 Intraoral - periapical each additional radiographic image 627 189 $5K
D0150 Comprehensive oral evaluation - new or established patient 122 114 $4K
D1206 Topical application of fluoride varnish 246 231 $3K
D0220 Intraoral - periapical first radiographic image 243 225 $3K
D1351 Sealant - per tooth 113 13 $2K
D0120 Periodic oral evaluation - established patient 31 28 $807.80
D0272 Bitewings - two radiographic images 15 14 $187.04
D0603 378 361 $0.00