Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › OSCEOLA › MARK K WILSON DDS

MARK K WILSON DDS

NPI: 1235725839 · OSCEOLA, AR 72370 · Dental Clinic/Center · NPI assigned 12/17/2020

$7K
Total Medicaid Paid
227
Total Claims
227
Beneficiaries
3
Codes Billed
2021-03
First Month
2022-03
Last Month

Provider Details

Authorized OfficialWILSON, MARK (OWNER)
NPI Enumeration Date12/17/2020

Related Entities

Other providers sharing the same authorized official: WILSON, MARK

ProviderCityStateTotal Paid
G FRIEND DDS MS & M WILSON DDS MS PA NORTH LITTLE ROCK AR $3.91M
HOLTON USD 336 HOLTON SPECIAL EDUCATION COOPERATIVE HOLTON KS $220K
WILSON & FIQUETT, D.M.D., P.C. FORT PAYNE AL $172K
MARK D WILSON, MD INC SANTA BARBARA CA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 183 $5K
2022 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 64 64 $3K
D0120 Periodic oral evaluation - established patient 83 83 $2K
D1208 Topical application of fluoride, excluding varnish 80 80 $2K