Medicaid Provider Spending

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

POTRANCO FAMILY DENTAL PLLC

NPI: 1932790987 · SAN ANTONIO, TX 78245 · Dentist · NPI assigned 02/02/2021

$23K
Total Medicaid Paid
1,737
Total Claims
1,567
Beneficiaries
11
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHARMA, SUMEET (DENTIST)
NPI Enumeration Date02/02/2021

Related Entities

Other providers sharing the same authorized official: SHARMA, SUMEET

ProviderCityStateTotal Paid
SMILE KEEPERS PLLC BRENHAM TX $1.30M
BELLAIRE EYE CONSULTANTS, PA HOUSTON TX $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 279 $4K
2023 655 $8K
2024 803 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 414 383 $4K
D1208 Topical application of fluoride, excluding varnish 290 276 $4K
D0230 Intraoral - periapical each additional radiographic image 406 307 $4K
D0150 Comprehensive oral evaluation - new or established patient 112 106 $4K
D0274 Bitewings - four radiographic images 114 109 $3K
D1110 Prophylaxis - adult 31 28 $1K
D0120 Periodic oral evaluation - established patient 47 46 $1K
D1120 Prophylaxis - child 34 34 $1K
D0272 Bitewings - two radiographic images 12 12 $257.18
D0602 14 12 $0.00
D0603 263 254 $0.00