Medicaid Provider Spending

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

DENTIUM PEDIATRIC DENTAL P.C.

NPI: 1922529874 · FRISCO, TX 75034 · Pediatric Dentist · NPI assigned 06/30/2017

$63K
Total Medicaid Paid
4,355
Total Claims
3,909
Beneficiaries
8
Codes Billed
2020-11
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSHIR, SOLMAZ (OWNER)
NPI Enumeration Date06/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 85 $1K
2021 976 $13K
2022 1,331 $19K
2023 1,462 $23K
2024 501 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 474 474 $17K
D0120 Periodic oral evaluation - established patient 424 424 $12K
D0230 Intraoral - periapical each additional radiographic image 1,028 599 $11K
D0220 Intraoral - periapical first radiographic image 691 677 $8K
D1208 Topical application of fluoride, excluding varnish 540 540 $8K
D0272 Bitewings - two radiographic images 315 315 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 27 25 $650.64
D0602 856 855 $0.00