Medicaid Provider Spending

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

RAY FAMILY DENTISTRY, PLLC

NPI: 1043959885 · FAIRMONT, WV 26554 · Dental Clinic/Center · NPI assigned 05/31/2022

$47K
Total Medicaid Paid
1,033
Total Claims
851
Beneficiaries
12
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAY, TIMOTHY (OWNER)
NPI Enumeration Date05/31/2022

Related Entities

Other providers sharing the same authorized official: RAY, TIMOTHY

ProviderCityStateTotal Paid
CITY OF KINGSBURG KINGSBURG CA $460K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $196.41
2024 1,019 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 126 55 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent 105 48 $8K
D1120 Prophylaxis - child 118 118 $5K
D0120 Periodic oral evaluation - established patient 175 174 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 118 97 $4K
D1206 Topical application of fluoride varnish 153 153 $3K
D9248 19 14 $2K
D1110 Prophylaxis - adult 40 40 $2K
D0140 Limited oral evaluation - problem focused 61 50 $2K
D0220 Intraoral - periapical first radiographic image 69 58 $1K
D0272 Bitewings - two radiographic images 30 30 $797.50
D9630 19 14 $192.00