Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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T & S OMFS PLLC

NPI: 1811343718 · AUSTIN, TX 78705 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/10/2016

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

Authorized official MONTGOMERY, MARTY controls 11+ related entities in our dataset. Read more

$188K
Total Medicaid Paid
1,241
Total Claims
844
Beneficiaries
6
Codes Billed
2020-11
First Month
2021-06
Last Month

Provider Details

Authorized OfficialMONTGOMERY, MARTY (DENTIST/OWNER)
NPI Enumeration Date05/10/2016

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, MARTY

ProviderCityStateTotal Paid
NORTH AUSTIN PEDIATRIC DENTAL, PLLC AUSTIN TX $874K
LONE STAR PEDIATRIC DENTAL, PLLC AUSTIN TX $746K
ELGIN PEDIATRIC DENTAL PLLC ELGIN TX $397K
KYLE PEDIATRIC DENTAL KYLE TX $352K
LSPD AT KILLEEN, PLLC KILLEEN TX $259K
LAKEWAY PEDIATRIC DENTAL, PLLC AUSTIN TX $134K
CENTRAL AUSTIN PEDIATRIC DENTAL, PLLC AUSTIN TX $122K
LSPD AT COVE PLLC COPPERAS COVE TX $106K
LSPD AT CIRCLE C, PLLC AUSTIN TX $69K
DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC DRIPPING SPRINGS TX $28K
CHILDREN'S DENTAL RANCH OF NEW BRAUNFELS, PLLC NEW BRAUNFELS TX $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 290 $46K
2021 951 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 576 194 $161K
D9239 213 211 $12K
D9243 213 211 $9K
D0140 Limited oral evaluation - problem focused 126 125 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 22 13 $2K
D9310 91 90 $1K