Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTAL ASSOCIATES OF SYLACAUGA LLC

NPI: 1093291080 · SYLACAUGA, AL 35150 · General Practice Dentistry · NPI assigned 07/13/2018

$9K
Total Medicaid Paid
618
Total Claims
528
Beneficiaries
6
Codes Billed
2019-03
First Month
2021-09
Last Month

Provider Details

Authorized OfficialHAWKINS, SAMUEL (DENTIST)
NPI Enumeration Date07/13/2018

Related Entities

Other providers sharing the same authorized official: HAWKINS, SAMUEL

ProviderCityStateTotal Paid
DENTAL ASSOCIATES OF HUNTSVILLE, LLC HUNTSVILLE AL $4.69M
DENTAL ASSOCIATES OF FYFFE, LLC FYFFE AL $473K
DENTAL ASSOCIATES OF ROGERSVILLE, LLC ROGERSVILLE AL $240K
DENTAL ASSOCIATES OF CHILDERSBURG LLC CHILDERSBURG AL $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 170 $2K
2020 116 $1K
2021 332 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 250 219 $4K
D0120 Periodic oral evaluation - established patient 201 170 $3K
D1206 Topical application of fluoride varnish 62 57 $1K
D1110 Prophylaxis - adult 39 29 $1K
D1120 Prophylaxis - child 33 27 $532.00
D1208 Topical application of fluoride, excluding varnish 33 26 $315.00