Medicaid Provider Spending

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

LAS COLINAS FAMILY DENTISTRY AND ORTHODONTICS PLLC

NPI: 1861988073 · IRVING, TX 75039 · Dentist · NPI assigned 07/11/2018

$3K
Total Medicaid Paid
256
Total Claims
242
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALOLABI, MOHAMAD (CO OWNER)
NPI Enumeration Date07/11/2018

Related Entities

Other providers sharing the same authorized official: ALOLABI, MOHAMAD

ProviderCityStateTotal Paid
SIGNATURE FAMILY DENTISTRY PLLC RIVER OAKS TX $965K
GROWING SMILES OF ANNA PLLC ANNA TX $296K
SOLAR DENTAL AND ORTHODONTICS PLLC GRAND PRAIRIE TX $158K
RELY DENTAL CENTERS PC BENBROOK TX $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 81 $843.54
2022 13 $147.00
2023 43 $428.05
2024 119 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 123 116 $1K
D1208 Topical application of fluoride, excluding varnish 78 75 $1K
D0120 Periodic oral evaluation - established patient 13 12 $288.50
D0230 Intraoral - periapical each additional radiographic image 29 26 $276.24
D0603 13 13 $0.00