Medicaid Provider Spending

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

JARRELL DENTAL PLLC

NPI: 1902580921 · JARRELL, TX 76537 · General Practice Dentistry · NPI assigned 06/12/2023

$22K
Total Medicaid Paid
1,755
Total Claims
1,297
Beneficiaries
13
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERNANDEZ, CINTHIA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date06/12/2023

Related Entities

Other providers sharing the same authorized official: FERNANDEZ, CINTHIA

ProviderCityStateTotal Paid
TH DENTAL PLLC BELTON TX $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $25.68
2024 1,743 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 601 234 $5K
D0150 Comprehensive oral evaluation - new or established patient 141 130 $4K
D1208 Topical application of fluoride, excluding varnish 228 221 $3K
D1120 Prophylaxis - child 67 66 $2K
D0220 Intraoral - periapical first radiographic image 269 256 $2K
D1351 Sealant - per tooth 61 15 $2K
D0274 Bitewings - four radiographic images 63 60 $2K
D0145 Oral evaluation for a patient under three years of age 13 13 $1K
D1110 Prophylaxis - adult 29 27 $1K
D0120 Periodic oral evaluation - established patient 31 30 $836.65
D0603 212 206 $11.12
D0601 28 27 $0.00
D0330 Panoramic radiographic image 12 12 $0.00