LANDRY, RALPH
NPI: 1063503126
· CLARKSDALE, MS 38614
· General Practice Dentistry
· NPI assigned 09/27/2006
$210K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
553 |
$12K |
| 2019 |
347 |
$14K |
| 2020 |
515 |
$25K |
| 2021 |
835 |
$40K |
| 2022 |
1,072 |
$52K |
| 2023 |
846 |
$45K |
| 2024 |
462 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
1,016 |
558 |
$77K |
| D0140 |
Limited oral evaluation - problem focused |
2,098 |
1,631 |
$74K |
| D0330 |
Panoramic radiographic image |
1,168 |
997 |
$54K |
| D0220 |
Intraoral - periapical first radiographic image |
309 |
252 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$615.88 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$365.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$225.40 |