Medicaid Provider Spending

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

BENBROOK SMILES PLLC

NPI: 1902489669 · BENBROOK, TX 76126 · General Practice Dentistry · NPI assigned 04/30/2021

$8K
Total Medicaid Paid
407
Total Claims
206
Beneficiaries
7
Codes Billed
2021-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRASTOGI, GEETIKA (OWNER)
NPI Enumeration Date04/30/2021

Related Entities

Other providers sharing the same authorized official: RASTOGI, GEETIKA

ProviderCityStateTotal Paid
CROSBY FAMILY DENTAL INC CROSBY TX $949K
JASPER FAMILY DENTAL JASPER TX $945K
SPLENDORA DENTAL PLLC SPLENDORA TX $710K
LIBERTY SMILES, PLLC LIBERTY TX $518K
ROCKDALE DENTAL PLLC ROCKDALE TX $457K
SPRINGTOWN SMILES PLLC SPRINGTOWN TX $388K
ELGIN CUBE SMILES PLLC ELGIN TX $248K
MATHIS DENTAL PLLC MATHIS TX $222K
JASPER FAMILY DENTAL PLLC BEAUMONT TX $170K
FLOUR BLUFF DENTAL PLLC SAN ANTONIO TX $154K
GRANGERLAND DENTAL PLLC CONROE TX $109K
PORT LAVACA SMILES PLLC PORT LAVACA TX $99K
SMILEPOINT LLC ALBUQUERQUE NM $90K
SINTON DENTAL PLLC SINTON TX $88K
CALALLEN DENTAL & ORTHODONTICS PLLC CORPUS CHRISTI TX $65K
WESTGREEN DENTAL PLLC CYPRESS TX $39K
ARANSAS DENTAL PLLC ARANSAS PASS TX $37K
LYTLE DENTAL PLLC LYTLE TX $35K
AZLE CUBE SMILES PLLC AZLE TX $21K
DEVINE DENTAL & ORTHODONTICS PLLC DEVINE TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 122 $3K
2022 122 $2K
2023 25 $150.72
2024 138 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 183 24 $5K
D1208 60 56 $749.70
D0230 64 37 $656.07
D0220 54 51 $615.44
D0150 17 13 $423.84
D1120 16 13 $367.50
D0603 13 12 $0.00