Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › MOORE › PKL ORTHODONTICS, PC

PKL ORTHODONTICS, PC

NPI: 1104206887 · MOORE, OK 73160 · Dental Clinic/Center · NPI assigned 06/08/2015

$3.72M
Total Medicaid Paid
10,848
Total Claims
10,839
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPICKENS-LARSON, PRISCILLA (OWNER/ ORTHODONTIST)
NPI Enumeration Date06/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 640 $164K
2019 796 $278K
2020 698 $226K
2021 1,195 $381K
2022 2,961 $1.08M
2023 2,968 $1.04M
2024 1,590 $551K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 2,944 2,944 $3.31M
D0340 3,189 3,185 $193K
D9310 3,644 3,639 $176K
D0470 546 546 $21K
D0330 Panoramic radiographic image 356 356 $17K
D0601 169 169 $2K