Medicaid Provider Spending

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

WREN PEDIATRIC DENTISTRY, PLLC

NPI: 1235339284 · BRANDON, MS 39042 · Pediatric Dentist · NPI assigned 07/18/2007

$1K
Total Medicaid Paid
613
Total Claims
415
Beneficiaries
4
Codes Billed
2019-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialWREN, JOSH (OWNER)
NPI Enumeration Date07/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 95 $1K
2020 69 $0.00
2021 449 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 269 176 $744.96
D1206 Topical application of fluoride varnish 224 153 $385.00
D0272 Bitewings - two radiographic images 27 27 $275.94
D0120 Periodic oral evaluation - established patient 93 59 $0.00