Medicaid Provider Spending

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

MESA KIDTASTIC DENTAL LLC

NPI: 1942841663 · MESA, AZ 85202 · Pediatric Dentist · NPI assigned 10/03/2019

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

Authorized official GASKINS, FAITH controls 20+ related entities in our dataset. Read more

$1.61M
Total Medicaid Paid
118,561
Total Claims
106,564
Beneficiaries
24
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGASKINS, FAITH (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date10/03/2019

Related Entities

Other providers sharing the same authorized official: GASKINS, FAITH

ProviderCityStateTotal Paid
CHRIS LARROW PLLC LAWTON OK $16.57M
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC GERMANTOWN MD $3.35M
ROBSTOWN DENTAL PLLC ROBSTOWN TX $2.84M
STAN KIDTASTIC DENTAL LLC SAN TAN VALLEY AZ $2.22M
AVONDALE VALLEY DENTAL LLC AVONDALE AZ $1.39M
PEPPERMINT DENTAL-MCKINNEY PLLC MCKINNEY TX $1.35M
MESA VALLEY DENTAL LLC MESA AZ $1.24M
MABANK FAMILY DENTISTRY PLLC MABANK TX $753K
STASSNEY AUSTIN DENTAL PLLC AUSTIN TX $659K
NORTHGLENN DENTISTRY AND ORTHODONTICS PLLC NORTHGLENN CO $599K
GULFSIDE DENTAL BRIDGE CITY PLLC BRIDGE CITY TX $569K
ARCHSTONE DENTAL PLLC FORT WORTH TX $561K
GILBERT KIDTASTIC DENTAL LLC GILBERT AZ $481K
RIVERSIDE AUSTIN DENTAL PLLC AUSTIN TX $396K
DOVE FAMILY DENTISTRY OAKLAND PLLC OAKLAND TN $391K
GILBERT VALLEY DENTAL LLC GILBERT AZ $296K
WEST TENNESSEE DENTISTRY PLLC JACKSON TN $287K
COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC COPPERAS COVE TX $203K
EAST 51 AUSTIN DENTAL PLLC AUSTIN TX $187K
SOUTHPARK AUSTIN DENTAL PLLC AUSTIN TX $172K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14,956 $149K
2021 27,817 $323K
2022 25,229 $396K
2023 26,277 $408K
2024 24,282 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 15,945 15,532 $279K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,041 2,593 $190K
D0120 Periodic oral evaluation - established patient 15,206 14,849 $176K
D1206 Topical application of fluoride varnish 18,261 17,805 $159K
D2930 Prefabricated stainless steel crown - primary tooth 2,906 806 $148K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,942 1,772 $88K
D0220 Intraoral - periapical first radiographic image 14,937 14,463 $87K
D0272 Bitewings - two radiographic images 8,947 8,689 $82K
D0230 Intraoral - periapical each additional radiographic image 14,828 13,649 $74K
D7140 Extraction, erupted tooth or exposed root 1,635 775 $54K
D1110 Prophylaxis - adult 2,317 2,275 $48K
D0274 Bitewings - four radiographic images 3,425 3,344 $45K
D0150 Comprehensive oral evaluation - new or established patient 2,264 2,190 $44K
D0210 Intraoral - complete series of radiographic images 1,177 1,140 $32K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3,457 3,124 $32K
D1351 Sealant - per tooth 2,195 726 $24K
D0330 Panoramic radiographic image 689 662 $14K
D0140 Limited oral evaluation - problem focused 800 785 $12K
D9248 284 269 $9K
D0145 Oral evaluation for a patient under three years of age 539 526 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 108 68 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 79 38 $3K
D0601 535 460 $0.00
D0602 44 24 $0.00