Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › ARLINGTON › 10X SMILES PLLC

10X SMILES PLLC

NPI: 1841987948 · ARLINGTON, TX 76006 · Dental Clinic/Center · NPI assigned 04/19/2023

$2K
Total Medicaid Paid
194
Total Claims
171
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNAMINENI, DEEPTI (MANAGING MEMBER)
NPI Enumeration Date04/19/2023

Related Entities

Other providers sharing the same authorized official: NAMINENI, DEEPTI

ProviderCityStateTotal Paid
SIMPLE DENTIST PLLC GRAND PRAIRIE TX $133K
COMFORT SMILES NRH PLLC COMMERCE TX $62K
COMFORT SMILES 9 PLLC FORT WORTH TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 194 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 29 25 $854.40
D1208 Topical application of fluoride, excluding varnish 39 38 $529.20
D0230 Intraoral - periapical each additional radiographic image 30 13 $323.43
D0220 Intraoral - periapical first radiographic image 13 13 $151.98
D0603 83 82 $0.00