Medicaid Provider Spending

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

ALAMEDA DENTAL CARE, PLLC

NPI: 1821523473 · EL PASO, TX 79907 · Dental Clinic/Center · NPI assigned 04/20/2017

$85K
Total Medicaid Paid
5,053
Total Claims
4,787
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAVARI, NASIM (MANAGER)
NPI Enumeration Date04/20/2017

Related Entities

Other providers sharing the same authorized official: RAVARI, NASIM

ProviderCityStateTotal Paid
DYER DENTAL CARE PLLC EL PASO TX $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $0.00
2021 1,257 $21K
2022 1,482 $23K
2023 1,707 $32K
2024 592 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 349 341 $17K
D0120 Periodic oral evaluation - established patient 526 517 $13K
D0272 Bitewings - two radiographic images 556 549 $12K
D1208 Topical application of fluoride, excluding varnish 804 789 $11K
D0220 Intraoral - periapical first radiographic image 614 604 $7K
D0230 Intraoral - periapical each additional radiographic image 600 584 $6K
D0145 Oral evaluation for a patient under three years of age 39 39 $5K
D1120 Prophylaxis - child 160 156 $5K
D1351 Sealant - per tooth 205 24 $5K
D0150 Comprehensive oral evaluation - new or established patient 74 72 $2K
D0210 Intraoral - complete series of radiographic images 13 12 $706.40
D0603 1,113 1,100 $0.00