Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PONTOTOC FAMILY DENTAL PLLC
NPI: 1164941936 · PONTOTOC, MS 38863 ·
1223G0001X
$16K
Total Medicaid Paid
1,817
Total Claims
706
Beneficiaries
9
Codes Billed
2018-07
First Month
2019-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,769
$15K
2019
48
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
312
134
$4K
D1120
372
159
$3K
D1206
356
152
$3K
D0330
157
87
$2K
D9230
267
78
$1K
D0274
121
51
$1K
D2392
135
14
$637.08
D0140
26
17
$601.04
D0210
71
14
$126.00