Medicaid Provider Spending

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

ACCESS DENTAL OF EDINBURG PLLC

NPI: 1790381960 · EDINBURG, TX 78539 · General Practice Dentistry · NPI assigned 12/11/2020

$51K
Total Medicaid Paid
2,953
Total Claims
2,254
Beneficiaries
15
Codes Billed
2021-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCARRILLO, ANDREA (DIRECTOR)
NPI Enumeration Date12/11/2020

Related Entities

Other providers sharing the same authorized official: CARRILLO, ANDREA

ProviderCityStateTotal Paid
ACCESS DENTAL OF HARLINGEN PLLC HARLINGEN TX $2.38M
ACCESS DENTAL OF RAYMONDVILLE PLLC RAYMONDVILLE TX $925K
ACCESS DENTAL OF TERRE HAUTE LLC TERRE HAUTE IN $138K
ACCESS DENTAL OF MCALLEN PLLC MCALLEN TX $24K
ACCESS DENTAL OF PARK ROW, PA ARLINGTON TX $22K
ACCESS DENTAL OF WICHITA FALLS PLLC WICHITA FALLS TX $15K
ACCESS DENTAL OF BEAUMONT PLLC BEAUMONT TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 956 $16K
2022 533 $10K
2023 637 $8K
2024 827 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 284 256 $12K
D0120 Periodic oral evaluation - established patient 414 372 $9K
D1351 Sealant - per tooth 272 39 $8K
D0230 Intraoral - periapical each additional radiographic image 497 233 $4K
D1208 Topical application of fluoride, excluding varnish 323 292 $4K
D0274 Bitewings - four radiographic images 158 141 $4K
D0220 Intraoral - periapical first radiographic image 319 289 $3K
D0150 Comprehensive oral evaluation - new or established patient 91 80 $3K
D1120 Prophylaxis - child 79 72 $2K
D0350 115 108 $2K
D0330 Panoramic radiographic image 32 29 $486.19
D0140 Limited oral evaluation - problem focused 14 13 $206.84
D0601 60 57 $0.00
D0603 241 220 $0.00
D0602 54 53 $0.00