Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DALLAS › LUMINT FAMILY DENTAL

LUMINT FAMILY DENTAL

NPI: 1780098293 · DALLAS, TX 75220 · General Practice Dentistry · NPI assigned 06/12/2014

$13K
Total Medicaid Paid
862
Total Claims
775
Beneficiaries
12
Codes Billed
2020-12
First Month
2022-03
Last Month

Provider Details

Authorized OfficialLE, LAN CHI (DENTIST)
NPI Enumeration Date06/12/2014

Related Entities

Other providers sharing the same authorized official: LE, LAN CHI

ProviderCityStateTotal Paid
SMILEEASY DENTAL WHEATLAND, PLLC DALLAS TX $184K
SMILEEASY DENTAL GRAND PRAIRIE, PLLC GRAND PRAIRIE TX $58K
SMILEEASY DENTAL COCKRELL HILL, PLLC DALLAS TX $35K
SMILEEASY DENTAL PLANO, PLLC PLANO TX $25K
SMILEEASY DENTAL SACHSE, PLLC SACHSE TX $21K
CREST FAMILY DENTAL, PLLC GARLAND TX $176.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $161.70
2021 716 $11K
2022 133 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 141 135 $3K
D1208 Topical application of fluoride, excluding varnish 179 169 $2K
D0230 Intraoral - periapical each additional radiographic image 184 125 $2K
D0220 Intraoral - periapical first radiographic image 131 126 $1K
D0274 Bitewings - four radiographic images 56 52 $1K
D1120 Prophylaxis - child 27 26 $882.00
D1110 Prophylaxis - adult 12 12 $493.92
D0350 37 37 $441.12
D0272 Bitewings - two radiographic images 12 12 $257.18
D0602 33 33 $0.00
D0603 32 30 $0.00
D1999 18 18 $0.00