Medicaid Provider Spending

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

ACCESS DENTAL OF WILLIAM CANNON PA

NPI: 1700157955 · AUSTIN, TX 78745 · Dentist · NPI assigned 01/19/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more

$1.69M
Total Medicaid Paid
50,956
Total Claims
39,966
Beneficiaries
20
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHAN, TIEN (DENTIST)
NPI Enumeration Date01/19/2012

Related Entities

Other providers sharing the same authorized official: PHAN, TIEN

ProviderCityStateTotal Paid
ACCESS DENTAL OF RUNDBERG AUSTIN TX $3.69M
ACCESS DENTAL OF ED BLUESTEIN PA AUSTIN TX $2.50M
LA COSTA DENTAL OF KOSTORYZ PA CORPUS CHRISTI TX $1.62M
LA COSTA DENTAL OF LEOPARD PA CORPUS CHRISTI TX $1.32M
ACCESS DENTAL OF ZARZAMORA PA SAN ANTONIO TX $1.17M
LA COSTA DENTAL OF AYERS PA CORPUS CHRISTI TX $1.11M
ACCESS DENTAL OF 7TH STREET AUSTIN TX $1.06M
LA COSTA OF BEAUMONT PA BEAUMONT TX $650K
ACCESS DENTAL OF WHITE, P.A. SAN ANTONIO TX $564K
ACCESS DENTAL OF MEADOWBROOK FORT WORTH TX $549K
LA COSTA OF PORT ARTHUR PA PORT ARTHUR TX $526K
ACCESS DENTAL OF PLEASANTON, P.A. SAN ANTONIO TX $377K
ACCESS DENTAL OF FREDERICKSBURG PA SAN ANTONIO TX $356K
ACCESS DENTAL OF TRAWOOD PLLC EL PASO TX $349K
ACCESS DENTAL OF VALLEY MILLS PA WACO TX $291K
ACCESS DENTAL OF SAGINAW SAGINAW TX $281K
ACCESS DENTAL OF PARK LAKE PA WACO TX $209K
ACCESS DENTAL OF HALTOM CITY HALTOM CITY TX $140K
ACCESS DENTAL OF EL PASO PLLC EL PASO TX $122K
ACCESS DENTAL OF LAKE JUNE DALLAS TX $115K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,038 $48K
2021 11,785 $332K
2022 13,951 $511K
2023 12,690 $424K
2024 10,492 $379K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,362 1,674 $508K
D1351 Sealant - per tooth 6,835 1,501 $173K
D0120 Periodic oral evaluation - established patient 6,358 6,224 $170K
D0145 Oral evaluation for a patient under three years of age 1,245 1,238 $167K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,956 883 $146K
D1120 Prophylaxis - child 4,031 3,952 $137K
D1110 Prophylaxis - adult 2,529 2,491 $129K
D1208 Topical application of fluoride, excluding varnish 6,514 6,407 $89K
D0274 Bitewings - four radiographic images 2,869 2,797 $86K
D0272 Bitewings - two radiographic images 1,747 1,707 $38K
D0150 Comprehensive oral evaluation - new or established patient 821 788 $26K
D0220 Intraoral - periapical first radiographic image 924 891 $10K
D0230 Intraoral - periapical each additional radiographic image 980 798 $10K
D0330 Panoramic radiographic image 99 91 $3K
D2330 24 12 $2K
D0350 98 94 $687.68
D1330 27 24 $36.75
D0603 6,696 6,572 $2.03
D0601 1,515 1,497 $0.05
D0602 326 325 $0.00