Medicaid Provider Spending

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

SWAN DENTAL PLLC

NPI: 1841740602 · SUGAR LAND, TX 77498 · General Practice Dentistry · NPI assigned 10/05/2016

$20K
Total Medicaid Paid
1,275
Total Claims
1,256
Beneficiaries
8
Codes Billed
2020-12
First Month
2021-06
Last Month

Provider Details

Authorized OfficialNGUYEN, JOHNNY (PART OWNER)
NPI Enumeration Date10/05/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 274 $5K
2021 1,001 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 184 181 $5K
D1120 Prophylaxis - child 110 110 $4K
D1208 Topical application of fluoride, excluding varnish 251 247 $3K
D0220 Intraoral - periapical first radiographic image 225 221 $3K
D0230 Intraoral - periapical each additional radiographic image 193 190 $2K
D0272 Bitewings - two radiographic images 79 78 $2K
D1110 Prophylaxis - adult 24 24 $1K
D0603 209 205 $0.00