Medicaid Provider Spending

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

PRECIOUS SMILE DENTAL AND ORTHODONTICS

NPI: 1881010924 · DALLAS, TX 75226 · General Practice Dentistry · NPI assigned 03/13/2014

$51K
Total Medicaid Paid
3,120
Total Claims
3,061
Beneficiaries
12
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNGUYEN, NHI (DENTIST)
NPI Enumeration Date03/13/2014

Related Entities

Other providers sharing the same authorized official: NGUYEN, NHI

ProviderCityStateTotal Paid
ABA BASICS, INC. HUNTINGTON BEACH CA $11.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 54 $876.67
2021 1,160 $19K
2022 1,139 $19K
2023 497 $7K
2024 270 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 483 482 $14K
D1208 Topical application of fluoride, excluding varnish 680 676 $10K
D1120 Prophylaxis - child 230 228 $8K
D0220 Intraoral - periapical first radiographic image 464 462 $6K
D0230 Intraoral - periapical each additional radiographic image 435 428 $5K
D1110 Prophylaxis - adult 84 82 $4K
D0145 Oral evaluation for a patient under three years of age 12 12 $2K
D1351 Sealant - per tooth 50 14 $1K
D0150 Comprehensive oral evaluation - new or established patient 28 26 $847.68
D0274 Bitewings - four radiographic images 25 25 $830.64
D0601 617 614 $0.00
D0602 12 12 $0.00