Medicaid Provider Spending

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

COMFORT DENTISTRY

NPI: 1730788068 · SAN ANTONIO, TX 78232 · General Practice Dentistry · NPI assigned 10/19/2020

$7K
Total Medicaid Paid
541
Total Claims
452
Beneficiaries
8
Codes Billed
2022-12
First Month
2023-11
Last Month

Provider Details

Authorized OfficialBASRAI, AMANDEEP (OWNER)
NPI Enumeration Date10/19/2020

Related Entities

Other providers sharing the same authorized official: BASRAI, AMANDEEP

ProviderCityStateTotal Paid
AVANI DENTISTRY II PC GATESVILLE TX $474K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 142 $2K
2023 399 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 54 44 $2K
D0274 Bitewings - four radiographic images 65 52 $1K
D0120 Periodic oral evaluation - established patient 59 48 $1K
D1206 Topical application of fluoride varnish 78 67 $954.72
D0220 Intraoral - periapical first radiographic image 66 55 $540.62
D0230 Intraoral - periapical each additional radiographic image 42 35 $306.56
D0603 160 136 $0.00
D1330 17 15 $0.00