Medicaid Provider Spending

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

ESCOBAR PREMIER DENTAL PLLC

NPI: 1912546672 · CYPRESS, TX 77429 · General Practice Dentistry · NPI assigned 12/30/2019

$11K
Total Medicaid Paid
1,043
Total Claims
925
Beneficiaries
7
Codes Billed
2022-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialESCOBAR, CHRISTIAN (OWNER)
NPI Enumeration Date12/30/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 143 $2K
2023 572 $6K
2024 328 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 215 202 $3K
D0220 Intraoral - periapical first radiographic image 280 258 $2K
D0230 Intraoral - periapical each additional radiographic image 293 226 $2K
D0120 Periodic oral evaluation - established patient 91 85 $2K
D1120 Prophylaxis - child 46 40 $1K
D0272 Bitewings - two radiographic images 26 25 $537.74
D0603 92 89 $0.00