Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › HATTIESBURG › TODD DIXON FAMILY DENTISTRY LLC

TODD DIXON FAMILY DENTISTRY LLC

NPI: 1003463845 · HATTIESBURG, MS 39401 · Dental Clinic/Center · NPI assigned 08/26/2019

$5K
Total Medicaid Paid
167
Total Claims
160
Beneficiaries
4
Codes Billed
2020-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialDIXON, STEPHEN (DENTIST)
NPI Enumeration Date08/26/2019

Related Entities

Other providers sharing the same authorized official: DIXON, STEPHEN

ProviderCityStateTotal Paid
RATON FAMILY DENTAL LLC RATON NM $323K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 66 $2K
2021 24 $514.47
2023 77 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 75 74 $2K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $2K
D1206 Topical application of fluoride varnish 28 28 $557.00
D0140 Limited oral evaluation - problem focused 18 12 $523.66