Medicaid Provider Spending

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

BRANNON DENTAL ASSOCIATES PLLC

NPI: 1275631871 · SPENCER, WV 25276 · General Practice Dentistry · NPI assigned 09/20/2006

$53K
Total Medicaid Paid
1,839
Total Claims
1,810
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRANNON, RANDALL (PARTNER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157 $4K
2019 155 $4K
2020 27 $740.00
2022 39 $935.00
2023 551 $16K
2024 910 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 778 766 $16K
D1120 Prophylaxis - child 393 387 $16K
D0120 Periodic oral evaluation - established patient 536 527 $14K
D1110 Prophylaxis - adult 93 93 $5K
D0330 Panoramic radiographic image 15 13 $958.10
D0272 Bitewings - two radiographic images 12 12 $302.50
D0220 Intraoral - periapical first radiographic image 12 12 $198.00