SOUTHEAST MISSOURI HEALTH NETWORK
NPI: 1053700435
· CARUTHERSVILLE, MO 63830
· General Practice Dentistry
· NPI assigned 01/22/2015
$136K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JONES, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
779 |
$81K |
| 2019 |
257 |
$20K |
| 2020 |
365 |
$23K |
| 2022 |
84 |
$10K |
| 2024 |
17 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
Extraction, erupted tooth or exposed root |
690 |
210 |
$88K |
| D0140 |
Limited oral evaluation - problem focused |
549 |
446 |
$32K |
| D0330 |
Panoramic radiographic image |
151 |
138 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
52 |
$1K |
| D0272 |
Bitewings - two radiographic images |
46 |
29 |
$1K |