Medicaid Provider Spending

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

HOWDY DENTAL, PA

NPI: 1912487356 · SAN JUAN, TX 78589 · Dentist · NPI assigned 08/15/2018

$48K
Total Medicaid Paid
3,221
Total Claims
2,677
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCAVAZOS, KIMBERLY (OFFICE MANAGER)
NPI Enumeration Date08/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $0.00
2021 686 $13K
2022 849 $14K
2023 881 $11K
2024 792 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 412 386 $10K
D0230 Intraoral - periapical each additional radiographic image 729 335 $7K
D1110 Prophylaxis - adult 139 132 $7K
D1120 Prophylaxis - child 192 186 $7K
D1208 Topical application of fluoride, excluding varnish 478 455 $6K
D0220 Intraoral - periapical first radiographic image 475 429 $5K
D0274 Bitewings - four radiographic images 161 142 $5K
D0330 Panoramic radiographic image 18 18 $678.31
D0603 617 594 $0.00