Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › ELLISVILLE › ELLISVILLE STATE SCHOOL DENTAL

ELLISVILLE STATE SCHOOL DENTAL

NPI: 1013085414 · ELLISVILLE, MS 39437 · Dentist · NPI assigned 12/01/2006

$4K
Total Medicaid Paid
122
Total Claims
107
Beneficiaries
1
Codes Billed
2018-02
First Month
2019-10
Last Month

Provider Details

Authorized OfficialLASSITER, SUZIE (DIRECTOR OF FACILITY)
NPI Enumeration Date12/01/2006

Related Entities

Other providers sharing the same authorized official: LASSITER, SUZIE

ProviderCityStateTotal Paid
HOME COMMUNITY BASE WAIVER - ESS ELLISVILLE MS $12.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $3K
2019 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 122 107 $4K