Medicaid Provider Spending

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

DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.

NPI: 1205011608 · TAYLORSVILLE, MS 39168 · Dentist · NPI assigned 01/03/2008

$29K
Total Medicaid Paid
2,892
Total Claims
1,398
Beneficiaries
11
Codes Billed
2018-07
First Month
2022-04
Last Month

Provider Details

Authorized OfficialBRITT, JESSICA (CREDENTIALING COORDINATOR)
NPI Enumeration Date01/03/2008

Related Entities

Other providers sharing the same authorized official: BRITT, JESSICA

ProviderCityStateTotal Paid
MINNESOTA DENTAL PROFESSIONALS, P.C. LAKEVILLE MN $10K
MINNESOTA DENTAL PROFESSIONALS, P.C. BROOKLYN PARK MN $562.28

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,356 $12K
2019 249 $2K
2020 118 $1K
2021 1,062 $13K
2022 107 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 955 503 $10K
D1206 Topical application of fluoride varnish 730 369 $6K
D0150 Comprehensive oral evaluation - new or established patient 495 212 $5K
D0120 Periodic oral evaluation - established patient 241 143 $3K
D1351 Sealant - per tooth 204 26 $2K
D0330 Panoramic radiographic image 76 41 $776.85
D0274 Bitewings - four radiographic images 58 36 $770.56
D0140 Limited oral evaluation - problem focused 31 13 $520.85
D1208 Topical application of fluoride, excluding varnish 44 29 $365.01
D0220 Intraoral - periapical first radiographic image 23 14 $163.80
D0272 Bitewings - two radiographic images 35 12 $60.90