Medicaid Provider Spending

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

DREAMWORKS DENTAL OF PROSPER PLLC

NPI: 1760958854 · PROSPER, TX 75078 · General Practice Dentistry · NPI assigned 10/16/2018

$17K
Total Medicaid Paid
1,200
Total Claims
1,178
Beneficiaries
9
Codes Billed
2021-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialNGUYEN, MARIA (OWNER)
NPI Enumeration Date10/16/2018

Related Entities

Other providers sharing the same authorized official: NGUYEN, MARIA

ProviderCityStateTotal Paid
DREAMWORKS DENTAL PA IRVING TX $767K
DREAMWORKS DENTAL OF DUNCANVILLE PA DALLAS TX $413K
DREAMWORKS DENTAL OF NORTH TARRANT, PLLC FORT WORTH TX $218K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 171 $2K
2022 415 $6K
2023 438 $7K
2024 176 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 253 242 $3K
D0120 Periodic oral evaluation - established patient 114 112 $3K
D1110 Prophylaxis - adult 55 54 $3K
D0274 Bitewings - four radiographic images 79 79 $2K
D0220 Intraoral - periapical first radiographic image 149 147 $2K
D0230 Intraoral - periapical each additional radiographic image 129 128 $1K
D0150 Comprehensive oral evaluation - new or established patient 39 39 $1K
D1120 Prophylaxis - child 25 25 $735.00
D0603 357 352 $0.00