Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › GARLAND › OAK RIDGE DENTAL PLLC

OAK RIDGE DENTAL PLLC

NPI: 1831623347 · GARLAND, TX 75042 · Dentist · NPI assigned 04/12/2017

$2K
Total Medicaid Paid
232
Total Claims
196
Beneficiary Records
5
Codes Billed
2021-06
First Month
2023-10
Last Month

Provider Details

Authorized OfficialNGUYEN, PHONG (OWNER/DENTIST)
NPI Enumeration Date04/12/2017

Related Entities

Other providers sharing the same authorized official: NGUYEN, PHONG

ProviderCityStateTotal Paid
PHONG NGUYEN D.D.S. PC HOUSTON TX $138K
PACIFIC OPTOMETRY VISION, INC. WEST COVINA CA $20K
WESTLAKE MEDICAL SERVICES LLLP HOUSTON TX $221.82

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 101 $834.83
2022 27 $0.00
2023 104 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1208 Topical application of fluoride, excluding varnish 53 51 $741.60
D0230 Intraoral - periapical each additional radiographic image 57 25 $607.48
D0120 Periodic oral evaluation - established patient 12 12 $346.20
D0220 Intraoral - periapical first radiographic image 28 27 $342.00
D0603 82 81 $0.00