Medicaid Provider Spending

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

GALVESTON DENTAL PC

NPI: 1942525209 · GALVESTON, TX 77551 · General Practice Dentistry · NPI assigned 03/30/2010

$67K
Total Medicaid Paid
4,626
Total Claims
3,216
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-01
Last Month

Provider Details

Authorized OfficialOSAMOR, KENNETH (PRESIDENT)
NPI Enumeration Date03/30/2010

Related Entities

Other providers sharing the same authorized official: OSAMOR, KENNETH

ProviderCityStateTotal Paid
SMILE CONROE, PA CONROE TX $1.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 301 $4K
2021 2,982 $45K
2022 837 $11K
2023 493 $6K
2024 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 489 478 $13K
D0230 Intraoral - periapical each additional radiographic image 1,498 542 $12K
D1351 Sealant - per tooth 459 76 $10K
D1120 Prophylaxis - child 269 263 $9K
D1208 Topical application of fluoride, excluding varnish 564 550 $8K
D0220 Intraoral - periapical first radiographic image 604 586 $7K
D0274 Bitewings - four radiographic images 136 130 $4K
D1110 Prophylaxis - adult 55 51 $3K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $388.52
D0603 539 527 $0.00