Medicaid Provider Spending

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

MOC WEBB CITY, P L L C

NPI: 1013542232 · WEBB CITY, MO 64870 · Dentist · NPI assigned 03/09/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$15K
Total Medicaid Paid
992
Total Claims
888
Beneficiaries
11
Codes Billed
2020-06
First Month
2022-09
Last Month

Provider Details

Authorized OfficialCARDON, CREED (OWNER)
NPI Enumeration Date03/09/2020

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal Paid
MCO PEDS PLLC JENKS OK $2.51M
OKLAHOMA CITY DENTAL SW, PLLC OKLAHOMA CITY OK $1.24M
SUMMER DENTAL STILLWATER, PLLC STILLWATER OK $1.22M
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
SPRING ORTHODONTICS TULSA TULSA OK $1.03M
SPRING DENTAL COLLINSVILLE, PLLC COLLINSVILLE OK $1.01M
OKC 89TH DENTAL, PLLC OKLAHOMA CITY OK $962K
TULSA KIDS DENTAL PLLC TULSA OK $857K
WITCHITA 21ST DENTAL, PA WICHITA KS $802K
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
SPRING DENTAL VINITA, PLLC VINITA OK $371K
RIVER DENTAL SILOAM SPRINGS, PLLC SILOAM SPRINGS AR $267K
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC TULSA OK $194K
COTTONWOOD DENTAL MAIZE, PA WICHITA KS $186K
REDBUD DENTAL EDMOND, PLLC EDMOND OK $157K
DENTAL CARE OF WICHITA PA WICHITA KS $73K
RIVER DENTAL ROGERS SOUTH, PLLC ROGERS AR $66K
RIVER DENTAL ROGERS, PLLC ROGERS AR $61K
MARION FAMILY SMILES, P.A. MARION KS $56K
OWASSO PEDIATRIC DENTISTRY, PLLC OWASSO OK $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 813 $12K
2021 130 $2K
2022 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 172 160 $3K
D1206 Topical application of fluoride varnish 299 280 $3K
D0330 Panoramic radiographic image 139 125 $3K
D7140 Extraction, erupted tooth or exposed root 51 13 $2K
D0120 Periodic oral evaluation - established patient 54 52 $2K
D1120 Prophylaxis - child 88 85 $940.01
D1110 Prophylaxis - adult 50 46 $551.11
D0274 Bitewings - four radiographic images 48 44 $450.60
D0272 Bitewings - two radiographic images 47 44 $443.40
D0140 Limited oral evaluation - problem focused 24 21 $407.15
D0220 Intraoral - periapical first radiographic image 20 18 $124.54