Medicaid Provider Spending

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

IRVINE FAMILY DENTISTRY

NPI: 1184780066 · IRVINE, KY 40336 · General Practice Dentistry · NPI assigned 12/28/2006

$54K
Total Medicaid Paid
2,454
Total Claims
2,276
Beneficiaries
10
Codes Billed
2018-02
First Month
2023-03
Last Month

Provider Details

Authorized OfficialGAY, JASON (DENTIST PRESIDENT OWNER)
NPI Enumeration Date12/28/2006

Related Entities

Other providers sharing the same authorized official: GAY, JASON

ProviderCityStateTotal Paid
BOONEVILLE FAMILY DENTISTRY BOONEVILLE KY $447K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 796 $19K
2019 589 $13K
2020 612 $13K
2021 388 $8K
2022 56 $990.41
2023 13 $124.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 944 896 $22K
D0330 Panoramic radiographic image 300 283 $10K
D1110 Prophylaxis - adult 135 127 $5K
D0274 Bitewings - four radiographic images 197 185 $4K
D0140 Limited oral evaluation - problem focused 142 133 $4K
D0220 Intraoral - periapical first radiographic image 504 460 $4K
D1208 Topical application of fluoride, excluding varnish 144 137 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 43 26 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 29 15 $1K
D1120 Prophylaxis - child 16 14 $555.58