Medicaid Provider Spending

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

HIGHLINE DENTAL, PLLC

NPI: 1851808000 · RICHMOND, TX 77406 · Dental Clinic/Center · NPI assigned 01/09/2018

$685.88
Total Medicaid Paid
52
Total Claims
51
Beneficiaries
4
Codes Billed
2022-10
First Month
2023-01
Last Month

Provider Details

Authorized OfficialKIM, ALBERT (MANAGER)
NPI Enumeration Date01/09/2018

Related Entities

Other providers sharing the same authorized official: KIM, ALBERT

ProviderCityStateTotal Paid
INNOVATIVE FOOT AND ANKLE CARE, PC RANCHO CUCAMONGA CA $153K
A KIM MEDICAL PC STONY BROOK NY $2K
CARDIAC AND VASCULAR CARE OF VIRGINIA, P.C. ANNANDALE VA $585.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 26 $163.28
2023 26 $522.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 13 13 $346.20
D1206 Topical application of fluoride varnish 13 13 $176.40
D0220 Intraoral - periapical first radiographic image 13 13 $163.28
D0602 13 12 $0.00