Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › CROWLEY › AFFORDABLE DENTIST NEAR ME CROWLEY PLLC

AFFORDABLE DENTIST NEAR ME CROWLEY PLLC

NPI: 1780275727 · CROWLEY, TX 76036 · General Practice Dentistry · NPI assigned 02/02/2021

$2K
Total Medicaid Paid
160
Total Claims
156
Beneficiaries
6
Codes Billed
2023-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialVO, PETER (OWNER)
NPI Enumeration Date02/02/2021

Related Entities

Other providers sharing the same authorized official: VO, PETER

ProviderCityStateTotal Paid
ABC FAMILY DENTAL BASSWOOD PLLC HALTOM CITY TX $572K
ABC FAMILY DENTAL KELLER LLC KELLER TX $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 72 $918.44
2024 88 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 28 $787.76
D1208 Topical application of fluoride, excluding varnish 27 26 $363.09
D0150 Comprehensive oral evaluation - new or established patient 14 14 $314.35
D0220 Intraoral - periapical first radiographic image 28 27 $310.22
D0230 Intraoral - periapical each additional radiographic image 14 14 $161.14
D0601 48 47 $0.00