Medicaid Provider Spending

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

AFFORDABLE DENTIST NEAR ME PLLC

NPI: 1992174031 · CROWLEY, TX 76036 · Dentist · NPI assigned 09/18/2015

$9K
Total Medicaid Paid
609
Total Claims
573
Beneficiaries
10
Codes Billed
2021-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialPHAM, TRI (DOCTOR)
NPI Enumeration Date09/18/2015

Related Entities

Other providers sharing the same authorized official: PHAM, TRI

ProviderCityStateTotal Paid
TRICARE MEDICAL GROUP, PC FALLS CHURCH VA $665K
TRI PHAM MD LLC SHREVEPORT LA $343K
AFFORDABLE DENTIST NEAR ME PLLC FORT WORTH TX $41K
AFFORDABLE DENTIST NEAR ME IN WACO PLLC WACO TX $8K
AFFORDABLE DENTIST NEAR ME PLLC GRAND PRAIRIE TX $1K
ABC123 DENTAL IN HALTOM PLLC FORT WORTH TX $0.00
GREAT EXPRESSION SMILES FORT WORTH TX $0.00
GREAT EXPRESSION SMILES FORT WORTH TX $0.00
GREAT EXPRESSION SMILES CROWLEY TX $0.00
GREAT EXPRESSION SMILES FORT WORTH TX $0.00
A MILLION BROWNIES LLC SHREVEPORT LA $0.00
PRIMECARE DIRECT LLC SHREVEPORT LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 79 $885.20
2022 336 $5K
2023 194 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 163 155 $2K
D0120 79 75 $2K
D1110 36 35 $1K
D0220 82 79 $917.64
D0274 32 31 $823.72
D0230 69 66 $699.81
D1120 28 27 $698.25
D0150 13 13 $455.63
D0601 84 72 $0.00
D0603 23 20 $0.00