Medicaid Provider Spending

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

DANIEL B. STORY II, DMD

NPI: 1235698887 · BELZONI, MS 39038 · General Practice Dentistry · NPI assigned 03/13/2019

$27K
Total Medicaid Paid
897
Total Claims
724
Beneficiaries
7
Codes Billed
2019-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKIKER, PAULA (OFFICE MANAGER)
NPI Enumeration Date03/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 42 $1K
2021 83 $2K
2022 515 $13K
2023 173 $7K
2024 84 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 277 260 $8K
D1206 Topical application of fluoride varnish 263 245 $7K
D0140 Limited oral evaluation - problem focused 227 140 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 72 25 $4K
D0150 Comprehensive oral evaluation - new or established patient 32 29 $1K
D0120 Periodic oral evaluation - established patient 13 13 $408.46
D0274 Bitewings - four radiographic images 13 12 $377.30