Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FULL SMILE DENTAL LAKERIDGE, PLLC

NPI: 1184389355 · LUBBOCK, TX 79424 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/03/2021

$26K
Total Medicaid Paid
456
Total Claims
409
Beneficiaries
8
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMORRIS, JENNIFER (CREDENTIALING SPECIALIST)
NPI Enumeration Date11/03/2021

Related Entities

Other providers sharing the same authorized official: MORRIS, JENNIFER

ProviderCityStateTotal Paid
TURNING POINT FORISTELL MO $2.92M
JENNIFER M MORRIS MD PC EDMOND OK $50K
STATELINE SURGERY CENTER, LLC GALENA KS $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 49 $2K
2023 295 $20K
2024 112 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 215 211 $11K
D7240 Removal of impacted tooth - completely bony 39 12 $10K
D0140 Limited oral evaluation - problem focused 65 65 $1K
D0160 59 57 $687.70
D9239 13 13 $684.48
D9243 26 13 $641.70
D9612 13 13 $465.79
D9310 26 25 $260.10