Medicaid Provider Spending

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

PHANTASTIC SMILES PA

NPI: 1710438049 · PASADENA, TX 77504 · 1223G0001X

$766K
Total Medicaid Paid
31,604
Total Claims
23,862
Beneficiaries
22
Codes Billed
2020-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 287 $4K
2021 4,031 $89K
2022 12,593 $346K
2023 7,948 $188K
2024 6,745 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 4,579 993 $123K
D0145 688 685 $96K
D0120 3,394 3,351 $96K
D1120 2,313 2,292 $83K
D0240 6,788 3,250 $61K
D1110 1,129 1,118 $61K
D1208 3,663 3,626 $53K
D2392 487 314 $47K
D0274 1,246 1,232 $40K
D0272 1,720 1,701 $39K
D2930 189 105 $28K
D3220 186 103 $16K
D2391 151 87 $11K
D0220 568 554 $6K
D0150 119 119 $4K
D0330 49 49 $987.01
D0140 31 29 $563.40
D0230 40 24 $390.88
D1330 160 160 $49.75
D0601 3,281 3,253 $22.05
D0602 585 583 $9.04
D0603 238 234 $0.00