Medicaid Provider Spending

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

HASLET FAMILY DENTAL PLLC

NPI: 1831550334 · HASLET, TX 76052 · Dentist · NPI assigned 03/10/2016

$91K
Total Medicaid Paid
6,747
Total Claims
5,543
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAHONEY, KACEY (DENTIST)
NPI Enumeration Date03/10/2016

Related Entities

Other providers sharing the same authorized official: MAHONEY, KACEY

ProviderCityStateTotal Paid
TODAY DENTAL OF SAGINAW PLLC FORT WORTH TX $53K
WHITE OAK FAMILY DENTAL PLLC DENTON TX $46K
CROWLEY STONE OAK PLLC CROWLEY TX $40K
OAK VIEW FAMILY DENTISTRY PLLC FORT WORTH TX $26K
TODAY DENTAL OF MANSFIELD NORTH PLLC MANSFIELD TX $5K
ACMA DENTAL GROUP PLLC FORT WORTH TX $2K
TODAY DENTAL OF GOLDEN TRIANGLE PLLC FORT WORTH TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $0.00
2021 941 $10K
2022 2,204 $31K
2023 2,055 $33K
2024 1,531 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 545 532 $18K
D1208 Topical application of fluoride, excluding varnish 1,053 1,007 $14K
D0230 Intraoral - periapical each additional radiographic image 1,634 734 $12K
D0120 Periodic oral evaluation - established patient 434 418 $11K
D0150 Comprehensive oral evaluation - new or established patient 334 320 $11K
D0220 Intraoral - periapical first radiographic image 844 798 $7K
D0274 Bitewings - four radiographic images 321 307 $6K
D0330 Panoramic radiographic image 154 148 $5K
D1110 Prophylaxis - adult 87 84 $4K
D1351 Sealant - per tooth 121 16 $3K
D0272 Bitewings - two radiographic images 32 31 $521.22
D0601 1,188 1,148 $0.00