Medicaid Provider Spending

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

ANNA BLUEBONNET DENTAL PLLC

NPI: 1942587209 · ANNA, TX 75409 · General Practice Dentistry · NPI assigned 11/14/2011

$98K
Total Medicaid Paid
6,496
Total Claims
6,239
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBHAKTA, SEEMA (PRINCIPAL/OWNER)
NPI Enumeration Date11/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 138 $2K
2021 1,363 $20K
2022 1,984 $31K
2023 1,680 $27K
2024 1,331 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 890 866 $25K
D1120 Prophylaxis - child 476 466 $17K
D0220 Intraoral - periapical first radiographic image 1,087 1,060 $12K
D1206 Topical application of fluoride varnish 788 774 $11K
D0230 Intraoral - periapical each additional radiographic image 1,143 1,004 $11K
D1110 Prophylaxis - adult 164 160 $9K
D0274 Bitewings - four radiographic images 301 295 $8K
D0272 Bitewings - two radiographic images 170 164 $3K
D1208 Topical application of fluoride, excluding varnish 155 148 $2K
D0603 1,322 1,302 $0.00