Medicaid Provider Spending

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

AFFORDABLE DENTIST NEAR ME PLLC

NPI: 1770952814 · FORT WORTH, TX 76112 · Dentist · NPI assigned 09/18/2015

$41K
Total Medicaid Paid
3,602
Total Claims
3,345
Beneficiaries
11
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPHAM, TRI (DOCTOR)
NPI Enumeration Date09/18/2015

Related Entities

Other providers sharing the same authorized official: PHAM, TRI

ProviderCityStateTotal Paid
TRICARE MEDICAL GROUP, PC FALLS CHURCH VA $665K
TRI PHAM MD LLC SHREVEPORT LA $343K
AFFORDABLE DENTIST NEAR ME PLLC CROWLEY TX $9K
AFFORDABLE DENTIST NEAR ME IN WACO PLLC WACO TX $8K
AFFORDABLE DENTIST NEAR ME PLLC GRAND PRAIRIE TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 77 $916.76
2021 816 $9K
2022 1,292 $17K
2023 1,067 $13K
2024 350 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 522 514 $13K
D0272 Bitewings - two radiographic images 349 345 $7K
D0274 Bitewings - four radiographic images 198 191 $5K
D1208 Topical application of fluoride, excluding varnish 362 352 $5K
D1110 Prophylaxis - adult 98 95 $4K
D1120 Prophylaxis - child 99 94 $3K
D0220 Intraoral - periapical first radiographic image 161 157 $2K
D0230 Intraoral - periapical each additional radiographic image 135 131 $1K
D0150 Comprehensive oral evaluation - new or established patient 28 25 $529.80
D0603 1,636 1,429 $99.18
D0601 14 12 $0.00