Medicaid Provider Spending

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

SANTA FE DENTAL PLLC

NPI: 1710387840 · HUMBLE, TX 77346 · Dentist · NPI assigned 08/26/2014

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

Authorized official THAKKAR, DHAVAL controls 20+ related entities in our dataset. Read more

$932K
Total Medicaid Paid
35,499
Total Claims
31,201
Beneficiaries
19
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHAKKAR, DHAVAL (OWNER)
NPI Enumeration Date08/26/2014

Related Entities

Other providers sharing the same authorized official: THAKKAR, DHAVAL

ProviderCityStateTotal Paid
PORT ARTHUR SMILES INC PORT ARTHUR TX $2.21M
ORANGE SMILES INC WEST ORANGE TX $1.78M
WILLIS FAMILY DENTAL PLLC HUMBLE TX $1.41M
GUN BARREL SMILES PLLC GUN BARREL CITY TX $1.13M
HENDERSON SMILES PLLC HUMBLE TX $1.07M
MEXIA DENTAL PLLC MEXIA TX $1.01M
LINDALE SMILES LINDALE TX $664K
ALVIN FAMILY DENTAL ALVIN TX $613K
3CDENTAL ORANGE PLLC ORANGE TX $605K
POTRANCO SMILES PLLC HUMBLE TX $201K
CASTROVILLE DENTAL PLLC CASTROVILLE TX $162K
MARBACH SMILES PLLC SAN ANTONIO, TX $159K
CONVERSE SMILES PLLC SAN ANTONIO TX $45K
SHAENFIELD DENTAL PLLC SAN ANTONIO TX $42K
CANYON LAKE DENTAL PLLC CANYON LAKE TX $32K
GLOSS DENTAL OF ROSENBERG PLLC ROSENBERG TX $29K
CAMP BOWIE SMILES PLLC FORT WORTH TX $15K
ROSHARON SMILES PLLC ROSHARON TX $12K
GLOSS DENTAL HOUSTON TX $837.46
MIDWAY CROSSING SMILES DALLAS TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,471 $36K
2021 8,538 $234K
2022 8,770 $238K
2023 9,891 $259K
2024 6,829 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,009 705 $191K
D0145 Oral evaluation for a patient under three years of age 1,126 1,099 $152K
D0120 Periodic oral evaluation - established patient 3,600 3,500 $98K
D1120 Prophylaxis - child 2,806 2,727 $97K
D1110 Prophylaxis - adult 1,306 1,279 $68K
D0274 Bitewings - four radiographic images 1,969 1,919 $65K
D0230 Intraoral - periapical each additional radiographic image 5,350 3,871 $59K
D1208 Topical application of fluoride, excluding varnish 4,039 3,939 $56K
D0220 Intraoral - periapical first radiographic image 4,273 4,126 $50K
D0272 Bitewings - two radiographic images 1,619 1,580 $36K
D1351 Sealant - per tooth 805 133 $20K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 706 595 $18K
D0150 Comprehensive oral evaluation - new or established patient 432 423 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent 81 41 $6K
D0140 Limited oral evaluation - problem focused 51 51 $880.78
D0210 Intraoral - complete series of radiographic images 12 12 $840.62
D0602 845 824 $0.00
D0603 2,610 2,549 $0.00
D0601 1,860 1,828 $0.00