Medicaid Provider Spending

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

COPPERFIELD FAMILY DENTISTRY, PLLC

NPI: 1942547443 · HOUSTON, TX 77095 · Dentist · NPI assigned 01/04/2013

$65K
Total Medicaid Paid
4,771
Total Claims
4,444
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialASHRAFI, MUJIB (MEMBER)
NPI Enumeration Date01/04/2013

Related Entities

Other providers sharing the same authorized official: ASHRAFI, MUJIB

ProviderCityStateTotal Paid
MAGNOLIA FAMILY DENTISTRY PLLC MAGNOLIA TX $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 104 $1K
2021 908 $11K
2022 1,543 $23K
2023 1,502 $21K
2024 714 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 496 473 $13K
D1208 Topical application of fluoride, excluding varnish 780 746 $11K
D0220 Intraoral - periapical first radiographic image 907 841 $10K
D1120 Prophylaxis - child 287 272 $10K
D0230 Intraoral - periapical each additional radiographic image 880 773 $9K
D0274 Bitewings - four radiographic images 176 163 $5K
D1110 Prophylaxis - adult 110 100 $5K
D0272 Bitewings - two radiographic images 111 101 $2K
D0603 1,024 975 $0.00