Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MISSISSIPPI BAND OF CHOCTAW INDIANS

NPI: 1073715579 · CHOCTAW, MS 39350 · Dentist · NPI assigned 06/05/2007

$438K
Total Medicaid Paid
924
Total Claims
916
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialANDERSON, PHYLLIS (TRIBAL CHIEF)
Parent OrganizationMISSISSIPPI BAND OF CHOCTAW INDIANS
NPI Enumeration Date06/05/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, PHYLLIS

ProviderCityStateTotal Paid
MISSISSIPPI BAND OF CHOCTAW INDIANS CHOCTAW MS $56.98M
MISSISSIPPI BAND OF CHOCTAW INDIANS CHOCTAW MS $812K
LIGHTHOUSE ACADEMIES OF ARKANSAS JACKSONVILLE AR $75K
MISSISSIPPI BAND OF CHOCTAW INDIANS CHOCTAW MS $29K
MISSISSIPPI BAND OF CHOCTAW INDIANS CHOCTAW MS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 90 $27K
2022 27 $17K
2023 807 $393K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 363 363 $192K
D1206 Topical application of fluoride varnish 333 330 $147K
D0220 Intraoral - periapical first radiographic image 130 130 $74K
D1351 Sealant - per tooth 32 32 $15K
D0330 Panoramic radiographic image 52 48 $9K
D0274 Bitewings - four radiographic images 14 13 $0.00