Medicaid Provider Spending

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

SOUTH FIRST DENTAL ,PC

NPI: 1760522031 · GARLAND, TX 75041 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/07/2007

$13K
Total Medicaid Paid
772
Total Claims
754
Beneficiary Records
7
Codes Billed
2021-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialOSAKWE, JACKSON (OWNER)
NPI Enumeration Date02/07/2007

Related Entities

Other providers sharing the same authorized official: OSAKWE, JACKSON

ProviderCityStateTotal Paid
SOUTH FIRST DENTAL OF OAKCLIFF DALLAS TX $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 407 $8K
2022 269 $4K
2023 72 $1K
2024 24 $486.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 159 156 $4K
D1208 Topical application of fluoride, excluding varnish 189 186 $3K
D0274 Bitewings - four radiographic images 68 66 $2K
D1110 Prophylaxis - adult 44 42 $2K
D0220 Intraoral - periapical first radiographic image 111 108 $1K
D0230 Intraoral - periapical each additional radiographic image 113 108 $1K
D0602 88 88 $0.00