Medicaid Provider Spending

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

NICHOLS, BRANTLEY

NPI: 1265696769 · RULEVILLE, MS 38771 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/14/2008

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 05/19/2022.
$608K
Total Medicaid Paid
4,828
Total Claims
2,274
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,741 $602K
2019 87 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7241 683 220 $171K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,573 459 $157K
D7240 Removal of impacted tooth - completely bony 589 242 $121K
D7230 310 162 $56K
D7250 291 85 $29K
D0140 Limited oral evaluation - problem focused 795 724 $29K
D7220 197 104 $23K
D7311 223 119 $15K
D9310 140 133 $6K
D9222 13 13 $1K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 14 13 $115.00