Medicaid Provider Spending

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

ST DENTAL PLLC

NPI: 1942084900 · CROWLEY, TX 76036 · Pediatric Dentist · NPI assigned 08/22/2023

$112K
Total Medicaid Paid
4,513
Total Claims
3,029
Beneficiaries
15
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTAREEN, SABA (PRACTICE OWNER/PEDIATRIC DENTIST)
Parent OrganizationST DENTAL PLLC
NPI Enumeration Date08/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 4,513 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 194 178 $25K
D2392 159 74 $14K
D0230 1,270 380 $13K
D0150 365 357 $12K
D1351 436 73 $11K
D1120 310 304 $10K
D2930 45 27 $7K
D0220 422 405 $5K
D1206 349 343 $5K
D9230 148 134 $4K
D2391 47 26 $3K
D0272 105 100 $2K
D0330 13 13 $566.07
D0120 17 17 $490.45
D0603 633 598 $0.00