Medicaid Provider Spending

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

DR. SMILE DENTISTRY, P.A.

NPI: 1780898924 · PLANO, TX 75023 · General Practice Dentistry · NPI assigned 05/09/2007

$21K
Total Medicaid Paid
998
Total Claims
996
Beneficiaries
9
Codes Billed
2021-02
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHOANG, THUONG (PRESIDENT)
NPI Enumeration Date05/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 307 $7K
2022 378 $8K
2023 289 $6K
2024 24 $522.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 316 316 $9K
D1208 Topical application of fluoride, excluding varnish 353 353 $5K
D1120 Prophylaxis - child 108 108 $4K
D0274 Bitewings - four radiographic images 54 54 $1K
D0220 Intraoral - periapical first radiographic image 53 53 $665.68
D0230 Intraoral - periapical each additional radiographic image 43 41 $471.91
D0272 Bitewings - two radiographic images 13 13 $257.18
D0603 25 25 $0.00
D0602 33 33 $0.00