Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › ARLINGTON › STADIUM DENTAL PLLC

STADIUM DENTAL PLLC

NPI: 1790226587 · ARLINGTON, TX 76010 · Dentist · NPI assigned 03/14/2017

$24K
Total Medicaid Paid
1,112
Total Claims
604
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialPATEL, HIREN (OWNER)
NPI Enumeration Date03/14/2017

Related Entities

Other providers sharing the same authorized official: PATEL, HIREN

ProviderCityStateTotal Paid
TKV HOSPITALITY CORP HICKSVILLE NY $1.48M
KRISHIROSHI, LLC ASHEVILLE NC $79K
HIREN A. PATEL, DDS, PLLC ARLINGTON TX $27K
ELLIS DENTAL LLC FORT WORTH TX $17K
AZ CHILDREN'S DENTAL CARE PLLC PHOENIX AZ $10K
GALLOWAY DENTAL PLLC MESQUITE TX $1K
HIREN K PATEL MD PC OPELIKA AL $682.64

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,097 $24K
2019 15 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 438 53 $12K
D0274 Bitewings - four radiographic images 86 85 $3K
D0150 Comprehensive oral evaluation - new or established patient 77 76 $3K
D0230 Intraoral - periapical each additional radiographic image 204 92 $2K
D1120 Prophylaxis - child 54 53 $2K
D1208 Topical application of fluoride, excluding varnish 95 94 $1K
D0220 Intraoral - periapical first radiographic image 96 93 $1K
D0602 62 58 $0.00