Medicaid Provider Spending

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

IRVING DENTAL ASSOCIATES PLLC

NPI: 1750828885 · IRVING, TX 75061 · General Practice Dentistry · NPI assigned 01/26/2017

$85K
Total Medicaid Paid
5,212
Total Claims
3,823
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIM, SEHWOON (MEMBER)
NPI Enumeration Date01/26/2017

Related Entities

Other providers sharing the same authorized official: KIM, SEHWOON

ProviderCityStateTotal Paid
CLINICA DENTAL OF TEXAS PLLC DALLAS TX $437.42

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 128 $2K
2021 1,321 $22K
2022 1,474 $24K
2023 1,485 $25K
2024 804 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 2,030 685 $21K
D0120 Periodic oral evaluation - established patient 562 555 $16K
D0272 Bitewings - two radiographic images 516 511 $12K
D0220 Intraoral - periapical first radiographic image 748 732 $9K
D1110 Prophylaxis - adult 138 138 $7K
D1120 Prophylaxis - child 208 204 $7K
D1208 Topical application of fluoride, excluding varnish 430 423 $6K
D1206 Topical application of fluoride varnish 251 248 $4K
D0274 Bitewings - four radiographic images 67 66 $2K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $842.71
D0601 27 27 $0.00
D0602 38 38 $0.00
D0603 172 171 $0.00