Medicaid Provider Spending

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

AROMA DENTAL

NPI: 1861052292 · HUMBLE, TX 77346 · Health Service Clinic/Center · NPI assigned 06/18/2019

$7K
Total Medicaid Paid
411
Total Claims
406
Beneficiaries
8
Codes Billed
2022-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialAL AZZAWI, THAER (OWNER)
NPI Enumeration Date06/18/2019

Related Entities

Other providers sharing the same authorized official: AL AZZAWI, THAER

ProviderCityStateTotal Paid
PALM DENTAL PLLC HOUSTON TX $174K
OLIVE DENTAL PLLC HOUSTON TX $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 162 $3K
2023 148 $2K
2024 101 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 38 38 $2K
D0120 Periodic oral evaluation - established patient 72 72 $2K
D0274 Bitewings - four radiographic images 28 28 $899.87
D0220 Intraoral - periapical first radiographic image 63 63 $749.74
D0230 Intraoral - periapical each additional radiographic image 64 60 $696.38
D1208 Topical application of fluoride, excluding varnish 50 50 $687.96
D1206 Topical application of fluoride varnish 12 12 $169.05
D0602 84 83 $0.00