Medicaid Provider Spending

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

SMILEEASY DENTAL PLANO, PLLC

NPI: 1962943639 · PLANO, TX 75075 · Dentist · NPI assigned 03/15/2017

$25K
Total Medicaid Paid
1,595
Total Claims
1,345
Beneficiaries
13
Codes Billed
2021-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLE, LAN CHI (MANAGING MEMBER)
NPI Enumeration Date03/15/2017

Related Entities

Other providers sharing the same authorized official: LE, LAN CHI

ProviderCityStateTotal Paid
SMILEEASY DENTAL WHEATLAND, PLLC DALLAS TX $184K
SMILEEASY DENTAL GRAND PRAIRIE, PLLC GRAND PRAIRIE TX $58K
SMILEEASY DENTAL COCKRELL HILL, PLLC DALLAS TX $35K
SMILEEASY DENTAL SACHSE, PLLC SACHSE TX $21K
LUMINT FAMILY DENTAL DALLAS TX $13K
CREST FAMILY DENTAL, PLLC GARLAND TX $176.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 572 $10K
2022 422 $6K
2023 456 $7K
2024 145 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 153 146 $4K
D1208 Topical application of fluoride, excluding varnish 242 237 $3K
D1351 Sealant - per tooth 138 25 $3K
D0230 Intraoral - periapical each additional radiographic image 299 199 $3K
D0220 Intraoral - periapical first radiographic image 216 208 $3K
D0350 191 185 $2K
D0274 Bitewings - four radiographic images 89 83 $2K
D1110 Prophylaxis - adult 41 40 $2K
D1120 Prophylaxis - child 47 45 $1K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $811.51
D1999 13 13 $0.00
D0603 27 27 $0.00
D0602 112 110 $0.00