Medicaid Provider Spending

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

ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC

NPI: 1790296226 · LUBBOCK, TX 79423 · Pediatric Dentist · NPI assigned 10/24/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$6.30M
Total Medicaid Paid
205,257
Total Claims
163,855
Beneficiaries
34
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREIBEL, JEFF (CFO)
NPI Enumeration Date10/24/2017

Related Entities

Other providers sharing the same authorized official: REIBEL, JEFF

ProviderCityStateTotal Paid
ABBEVILLE FAMILY DENTISTRY LUBBOCK TX $4.42M
KIDS DENTISTREE OF KY LLC LOUISVILLE KY $3.20M
KIDS DENTISTREE OF IN, LLC NEW ALBANY IN $3.20M
KIDS DENTISTREE OF IN, LLC AVON IN $2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC FRANKFORT KY $2.66M
SPECIALIZED DENTAL SERVICES.PLLC LOUISVILLE KY $2.29M
KIDS DENTISTREE OF IN, LLC SCOTTSBURG IN $2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC FRANKFORT KY $1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC INDEPENDENCE KY $1.39M
MFDC OF INDIANA, INC SCOTTSBURG IN $984K
MFDC OF INDIANA, INC INDIANAPOLIS IN $959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC BARDSTOWN KY $796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC SEYMOUR IN $788K
MFDC OF KY LLC DRY RIDGE KY $679K
MFDC OF INDIANA, INC AVON IN $648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC LEVELLAND TX $593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC MAINEVILLE OH $482K
KIDS DENTISTREE OF KY LLC GEORGETOWN KY $469K
MFDC OF INDIANA, INC GREENWOOD IN $443K
MFDC OF INDIANA, INC GREENSBURG IN $378K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $1K
2019 103 $2K
2020 6,229 $202K
2021 49,750 $1.71M
2022 64,727 $1.90M
2023 40,953 $1.26M
2024 43,444 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 9,082 2,132 $1.15M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7,775 2,731 $706K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,551 2,690 $512K
D1120 Prophylaxis - child 15,222 14,493 $498K
D0120 Periodic oral evaluation - established patient 17,759 16,916 $470K
D1351 Sealant - per tooth 15,791 3,119 $401K
D0145 Oral evaluation for a patient under three years of age 2,703 2,555 $311K
D0272 Bitewings - two radiographic images 14,245 13,424 $288K
D9248 2,765 2,501 $274K
D1110 Prophylaxis - adult 5,443 5,175 $270K
D1206 Topical application of fluoride varnish 20,159 19,212 $267K
D0220 Intraoral - periapical first radiographic image 22,000 20,442 $225K
D0230 Intraoral - periapical each additional radiographic image 21,393 19,160 $202K
D2934 1,177 349 $143K
D0274 Bitewings - four radiographic images 3,868 3,826 $117K
D7140 Extraction, erupted tooth or exposed root 2,210 1,182 $113K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,474 4,139 $106K
D0150 Comprehensive oral evaluation - new or established patient 2,777 2,638 $86K
D0210 Intraoral - complete series of radiographic images 686 686 $45K
D0330 Panoramic radiographic image 1,564 1,546 $35K
D0140 Limited oral evaluation - problem focused 1,770 1,635 $30K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 290 136 $22K
D2330 152 70 $9K
D1510 71 50 $9K
D2335 63 24 $8K
D1208 Topical application of fluoride, excluding varnish 204 203 $3K
D9420 13 13 $472.03
D0270 77 72 $343.00
D0601 2,137 2,006 $0.00
D0602 21,523 20,464 $0.00
D0603 246 229 $0.00
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 37 12 $0.00
D9222 12 12 $0.00
D3120 18 13 $0.00