Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › TYLER › ALPHA FIRST DENTAL CLINIC P.A

ALPHA FIRST DENTAL CLINIC P.A

NPI: 1720325418 · TYLER, TX 75703 · General Practice Dentistry · NPI assigned 01/15/2013

$1.40M
Total Medicaid Paid
53,894
Total Claims
40,548
Beneficiaries
29
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIHIONKHAN, OMOWUMI (DENTIST/DIRECTOR)
NPI Enumeration Date01/15/2013

Related Entities

Other providers sharing the same authorized official: IHIONKHAN, OMOWUMI

ProviderCityStateTotal Paid
ALPHA FIRST DENTAL CLINIC P.A LONGVIEW TX $3.00M
ALPHA FIRST DENTAL CLINIC P.A KILGORE TX $1.24M
ALPHA FIRST DENTAL CLINIC P.A MARSHALL TX $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,448 $31K
2021 12,141 $298K
2022 17,156 $492K
2023 12,616 $323K
2024 10,533 $253K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,482 1,360 $236K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,293 1,273 $167K
D0230 Intraoral - periapical each additional radiographic image 13,491 4,544 $145K
D0120 Periodic oral evaluation - established patient 4,492 4,409 $122K
D1110 Prophylaxis - adult 2,238 2,184 $111K
D1120 Prophylaxis - child 3,062 3,027 $106K
D0274 Bitewings - four radiographic images 2,144 2,099 $66K
D1208 Topical application of fluoride, excluding varnish 4,843 4,753 $65K
D0220 Intraoral - periapical first radiographic image 5,213 5,080 $60K
D0210 Intraoral - complete series of radiographic images 990 973 $56K
D2930 Prefabricated stainless steel crown - primary tooth 339 180 $45K
D1351 Sealant - per tooth 1,562 449 $40K
D0145 Oral evaluation for a patient under three years of age 307 299 $40K
D0150 Comprehensive oral evaluation - new or established patient 1,109 1,080 $35K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 973 857 $25K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 157 112 $16K
D7140 Extraction, erupted tooth or exposed root 259 158 $13K
D9248 126 121 $13K
D0140 Limited oral evaluation - problem focused 553 535 $10K
D1206 Topical application of fluoride varnish 598 595 $8K
D0272 Bitewings - two radiographic images 302 297 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 71 38 $6K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 28 13 $2K
D2330 21 13 $2K
D0330 Panoramic radiographic image 14 14 $39.72
D0601 266 264 $0.00
D0603 1,644 1,638 $0.00
D0602 3,950 3,855 $0.00
D1999 367 328 $0.00