Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › SOUTHAVEN › MAIN STREET DENTAL

MAIN STREET DENTAL

NPI: 1043557085 · SOUTHAVEN, MS 38671 · 122300000X

$12K
Total Medicaid Paid
2,311
Total Claims
578
Beneficiaries
7
Codes Billed
2018-07
First Month
2021-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,323 $4K
2019 684 $5K
2020 292 $3K
2021 12 $517.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 525 150 $4K
D1120 584 142 $2K
D0140 327 79 $2K
D0150 289 53 $1K
D1208 402 89 $669.86
D0120 95 39 $644.50
D1206 89 26 $618.80