Medicaid Provider Spending

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

KIDZONE DENTAL PLLC

NPI: 1932622487 · HOUSTON, TX 77054 · Dentist · NPI assigned 07/17/2017

$4K
Total Medicaid Paid
411
Total Claims
341
Beneficiaries
8
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAMINI, SHERVIN (CREDENTIALING SPECIALIST)
NPI Enumeration Date07/17/2017

Related Entities

Other providers sharing the same authorized official: AMINI, SHERVIN

ProviderCityStateTotal Paid
FORT BEND PEDIATRIC DENTISTRY MISSOURI CITY TX $2.93M
SOUTH TEXAS FAMILY DENTISTRY LLC HOUSTON TX $1.07M
TEXAS FAMILY DENTISTRY PLLC HOUSTON TX $313K
BAY OAKS PEDIATRIC DENTISTRY PLLC HOUSTON TX $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 302 $3K
2023 55 $963.60
2024 54 $406.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 41 33 $975.79
D0220 Intraoral - periapical first radiographic image 104 85 $920.54
D1120 Prophylaxis - child 28 24 $882.00
D0230 Intraoral - periapical each additional radiographic image 77 58 $653.90
D1208 Topical application of fluoride, excluding varnish 48 45 $529.43
D0120 Periodic oral evaluation - established patient 12 12 $346.20
D0603 66 55 $0.00
D0602 35 29 $0.00