Medicaid Provider Spending

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

BRANT ROUSE DDS PLC

NPI: 1003131459 · TAHLEQUAH, OK 74464 · 122300000X

$8K

Total Medicaid Paid

397

Total Claims

397

Beneficiaries

4

Codes Billed

2021-10

First Month

2023-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	43	$911.76
2022	275	$6K
2023	79	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		142	142	$3K
D1120		85	85	$2K
D1208		157	157	$2K
D1110		13	13	$503.03