Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MS › Gulfport › NPI 1063588788
Dental

Broom, Reggie

Broom, Reggie was paid $734K by Medicaid between Jan 2018 and May 2022, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.

33Billing provider infoBROOM, REGGIE
GULFPORT, MS 39507
33aNPI1063588788assigned 11/27/2006
33bProvider typePediatric Dentist
28Total paid$734K
24GClaims30,716
24DCodes billed22
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other Pediatric Dentist providers in Mississippi

Rank by total paid#39 of 81
Median peer was paid$580K
This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201815,773$283K
20198,119$265K
20205,052$133K
20211,473$45K
2022299$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 18% 1,496 307 $129K
D1120 Dental cleaning, childProphylaxis - child 16% 6,164 4,501 $116K
D1206 Topical application of fluoride varnish 10.0% 4,712 3,338 $73K
D0150 Comprehensive oral evaluation - new or established patient 9.7% 3,102 1,935 $71K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 7.0% 849 196 $51K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.1% 835 409 $45K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.0% 2,098 1,836 $44K
D0272 Bitewings - two radiographic images 5.4% 3,866 2,779 $39K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.9% 1,735 1,120 $36K
D0140 Limited oral evaluation - problem focused 3.7% 901 682 $27K
D0330 Panoramic radiographic image 3.2% 757 671 $23K
D1208 Topical application of fluoride, excluding varnish 1.9% 1,306 1,029 $14K
10 more codes
D1351 Sealant - per tooth 1.7% 466 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.5% 111 $11K
D0220 Intraoral - periapical first radiographic image 1.2% 1,030 $9K
D7140 Extraction, erupted tooth or exposed root 1.1% 103 $8K
D9248 1.0% 190 $8K
D0230 Intraoral - periapical each additional radiographic image <1% 564 $6K
D0210 Intraoral - complete series of radiographic images <1% 101 $4K
D0145 Oral evaluation for a patient under three years of age <1% 100 $4K
D0274 Bitewings - four radiographic images <1% 137 $3K
D9420 0% 93 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.