Medicaid Provider Spending

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

ARYAN DENTAL CENTER PLLC

NPI: 1780064402 · SAN ANTONIO, TX 78201 · General Practice Dentistry · NPI assigned 06/08/2015

$9K
Total Medicaid Paid
710
Total Claims
665
Beneficiaries
10
Codes Billed
2020-12
First Month
2021-06
Last Month

Provider Details

Authorized OfficialARYAN, FRANK (OWNER)
NPI Enumeration Date06/08/2015

Related Entities

Other providers sharing the same authorized official: ARYAN, FRANK

ProviderCityStateTotal Paid
SAN ANTONIO DENTAL CENTER BOERNE TX $84K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $0.00
2021 683 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 87 87 $2K
D1120 Prophylaxis - child 49 49 $2K
D1208 Topical application of fluoride, excluding varnish 104 104 $1K
D1351 Sealant - per tooth 45 12 $1K
D0274 Bitewings - four radiographic images 28 28 $730.21
D0220 Intraoral - periapical first radiographic image 51 47 $578.15
D0230 Intraoral - periapical each additional radiographic image 45 43 $494.42
D0150 Comprehensive oral evaluation - new or established patient 12 12 $420.31
D0272 Bitewings - two radiographic images 18 18 $397.46
D0603 271 265 $0.00