Medicaid Provider Spending

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

AESTHETIC DENTISTRY ASSOCIATES, PLLC

NPI: 1821301284 · HUMBLE, TX 77346 · General Practice Dentistry · NPI assigned 07/14/2010

$6K
Total Medicaid Paid
313
Total Claims
311
Beneficiaries
7
Codes Billed
2021-03
First Month
2021-12
Last Month

Provider Details

Authorized OfficialUMANSKY, DAVID (CO-OWNER & DENTIST)
NPI Enumeration Date07/14/2010

Related Entities

Other providers sharing the same authorized official: UMANSKY, DAVID

ProviderCityStateTotal Paid
ADVANTAGE DENTISTS HUMBLE ATASCOCITA TX $2.48M
OCEANUS DENTAL, PLLC ATASCOCITA TX $1.67M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 313 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 49 49 $2K
D1110 Prophylaxis - adult 29 29 $2K
D0120 Periodic oral evaluation - established patient 50 50 $1K
D0220 Intraoral - periapical first radiographic image 55 54 $640.56
D0230 Intraoral - periapical each additional radiographic image 53 52 $556.99
D1208 Topical application of fluoride, excluding varnish 29 29 $426.30
D0603 48 48 $0.00