Medicaid Provider Spending

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

CLEARSTONE DENTAL, PLLC

NPI: 1831582824 · ALLEN, TX 75002 · General Practice Dentistry · NPI assigned 03/15/2015

$12K
Total Medicaid Paid
892
Total Claims
798
Beneficiaries
7
Codes Billed
2021-03
First Month
2023-03
Last Month

Provider Details

Authorized OfficialVU, JAMES (OWNER)
NPI Enumeration Date03/15/2015

Related Entities

Other providers sharing the same authorized official: VU, JAMES

ProviderCityStateTotal Paid
SERVE DENTAL, PLLC PLANO TX $161.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 483 $7K
2022 319 $3K
2023 90 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 131 129 $4K
D1208 Topical application of fluoride, excluding varnish 194 191 $3K
D1120 Prophylaxis - child 53 53 $2K
D0230 Intraoral - periapical each additional radiographic image 147 69 $2K
D0220 Intraoral - periapical first radiographic image 85 82 $1K
D0274 Bitewings - four radiographic images 29 26 $899.86
D0603 253 248 $0.00