Medicaid Provider Spending

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

LA COSTA OF PORT ARTHUR PA

NPI: 1942656509 · PORT ARTHUR, TX 77640 · General Practice Dentistry · NPI assigned 05/12/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more

$526K
Total Medicaid Paid
21,643
Total Claims
20,611
Beneficiaries
20
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHAN, TIEN (DENTIST)
NPI Enumeration Date05/12/2016

Related Entities

Other providers sharing the same authorized official: PHAN, TIEN

ProviderCityStateTotal Paid
ACCESS DENTAL OF RUNDBERG AUSTIN TX $3.69M
ACCESS DENTAL OF ED BLUESTEIN PA AUSTIN TX $2.50M
ACCESS DENTAL OF WILLIAM CANNON PA AUSTIN TX $1.69M
LA COSTA DENTAL OF KOSTORYZ PA CORPUS CHRISTI TX $1.62M
LA COSTA DENTAL OF LEOPARD PA CORPUS CHRISTI TX $1.32M
ACCESS DENTAL OF ZARZAMORA PA SAN ANTONIO TX $1.17M
LA COSTA DENTAL OF AYERS PA CORPUS CHRISTI TX $1.11M
ACCESS DENTAL OF 7TH STREET AUSTIN TX $1.06M
LA COSTA OF BEAUMONT PA BEAUMONT TX $650K
ACCESS DENTAL OF WHITE, P.A. SAN ANTONIO TX $564K
ACCESS DENTAL OF MEADOWBROOK FORT WORTH TX $549K
ACCESS DENTAL OF PLEASANTON, P.A. SAN ANTONIO TX $377K
ACCESS DENTAL OF FREDERICKSBURG PA SAN ANTONIO TX $356K
ACCESS DENTAL OF TRAWOOD PLLC EL PASO TX $349K
ACCESS DENTAL OF VALLEY MILLS PA WACO TX $291K
ACCESS DENTAL OF SAGINAW SAGINAW TX $281K
ACCESS DENTAL OF PARK LAKE PA WACO TX $209K
ACCESS DENTAL OF HALTOM CITY HALTOM CITY TX $140K
ACCESS DENTAL OF EL PASO PLLC EL PASO TX $122K
ACCESS DENTAL OF LAKE JUNE DALLAS TX $115K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,055 $33K
2021 5,305 $125K
2022 5,207 $134K
2023 5,322 $123K
2024 4,754 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 751 736 $92K
D0120 Periodic oral evaluation - established patient 3,235 3,200 $89K
D1120 Prophylaxis - child 2,505 2,483 $86K
D1110 Prophylaxis - adult 1,136 1,126 $57K
D1208 Topical application of fluoride, excluding varnish 3,615 3,582 $50K
D0274 Bitewings - four radiographic images 1,411 1,394 $41K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 353 101 $35K
D0272 Bitewings - two radiographic images 1,007 999 $22K
D0150 Comprehensive oral evaluation - new or established patient 607 602 $19K
D1351 Sealant - per tooth 526 93 $13K
D0220 Intraoral - periapical first radiographic image 773 763 $8K
D0230 Intraoral - periapical each additional radiographic image 655 554 $6K
D0330 Panoramic radiographic image 160 156 $3K
D0210 Intraoral - complete series of radiographic images 40 40 $3K
D0140 Limited oral evaluation - problem focused 136 133 $2K
D0350 89 88 $847.52
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13 13 $325.32
D0603 2,570 2,534 $0.46
D0601 1,922 1,878 $0.01
D0602 139 136 $0.00