Medicaid Provider Spending

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

CLAIBORNE COUNTY FAMILY HEALTH CENTER, INC.

NPI: 1194968982 · PORT GIBSON, MS 39150 · Dental Clinic/Center · NPI assigned 04/09/2009

$4K
Total Medicaid Paid
52
Total Claims
50
Beneficiaries
3
Codes Billed
2021-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSON, CONEY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date04/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $2K
2022 27 $647.10
2024 12 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 25 24 $3K
D1120 Prophylaxis - child 13 12 $524.32
D0150 Comprehensive oral evaluation - new or established patient 14 14 $122.78