Medicaid Provider Spending

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

RSVM JACKSON PLLC

NPI: 1720602923 · SAN MARCOS, TX 78666 · General Practice Dentistry · NPI assigned 06/03/2020

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

Authorized official ABTAHI, NINA controls 20+ related entities in our dataset. Read more

$1.14M
Total Medicaid Paid
35,829
Total Claims
24,679
Beneficiaries
18
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABTAHI, NINA (MANGER)
NPI Enumeration Date06/03/2020

Related Entities

Other providers sharing the same authorized official: ABTAHI, NINA

ProviderCityStateTotal Paid
VMD RSVJR PLLC HOUSTON TX $6.39M
LUNA COMMERCE PLLC SAN ANTONIO TX $5.94M
YARBROUGH RSVZ PLLC EL PASO TX $5.05M
WOODLAWN RSVH PLLC SAN ANTONIO TX $4.36M
RESEARCH RSVS PLLC AUSTIN TX $3.31M
AVENTURA DENTAL SAN ANTONIO TX $3.27M
NURSERY RSVA PLLC IRVING TX $3.12M
FOREST RSVJR PLLC HOUSTON TX $2.71M
NFRY KATY PLLC KATY TX $2.56M
FRONTAGE RSVS PLLC AUSTIN TX $2.53M
ZARAGOZA RSVZ PLLC EL PASO TX $2.43M
ALAMEDA RSVKH PLLC CORPUS CHRISTI TX $2.33M
LAKE JUNE SRGM PLLC DALLAS TX $2.26M
WESTMORLAND SRGP PLLC DALLAS TX $2.03M
EASTCHASE MIGHTY PLLC FORT WORTH TX $1.42M
SANTA MARIA RSVJR PLLC HOUSTON TX $1.12M
BUCKNER RSVGLC PLLC DALLAS TX $1.12M
BROADMOOR SRG PLLC MESQUITE TX $1.06M
HILDEBRAND RSVM PLLC SAN ANTONIO TX $901K
PRESTON RSVI PLLC DALLAS TX $893K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,300 $196K
2022 9,448 $313K
2023 11,446 $350K
2024 9,635 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,429 1,046 $238K
D1351 Sealant - per tooth 6,868 1,346 $181K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,560 865 $119K
D0145 Oral evaluation for a patient under three years of age 818 817 $114K
D1120 Prophylaxis - child 1,954 1,945 $68K
D0210 Intraoral - complete series of radiographic images 948 944 $65K
D0230 Intraoral - periapical each additional radiographic image 5,209 2,023 $58K
D0120 Periodic oral evaluation - established patient 1,764 1,747 $49K
D0150 Comprehensive oral evaluation - new or established patient 1,329 1,320 $46K
D1110 Prophylaxis - adult 887 881 $46K
D1208 Topical application of fluoride, excluding varnish 2,981 2,961 $41K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,495 1,346 $39K
D0274 Bitewings - four radiographic images 959 917 $28K
D0220 Intraoral - periapical first radiographic image 2,156 2,124 $26K
D7240 Removal of impacted tooth - completely bony 60 12 $12K
D0272 Bitewings - two radiographic images 147 145 $3K
D9248 16 12 $1K
D0603 4,249 4,228 $0.00