Medicaid Provider Spending

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

GRIN DOCTORS PLLC

NPI: 1033800735 · OLD HICKORY, TN 37138 · Pediatric Dentist · NPI assigned 05/15/2023

$9K
Total Medicaid Paid
362
Total Claims
362
Beneficiaries
6
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCNEIL, JOHANNAH (PRACTICE MANAGER)
NPI Enumeration Date05/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 65 $2K
2024 297 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 102 102 $4K
D1206 Topical application of fluoride varnish 138 138 $3K
D0150 Comprehensive oral evaluation - new or established patient 45 45 $1K
D0120 Periodic oral evaluation - established patient 52 52 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $153.72
D1330 13 13 $0.00