Medicaid Provider Spending

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

KEVIN R. MANN DDS, PA

NPI: 1275779258 · PARAGOULD, AR 72450 · Dental Clinic/Center · NPI assigned 12/23/2008

$56K
Total Medicaid Paid
2,083
Total Claims
2,068
Beneficiaries
5
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMANN, KEVIN (PRESIDENT)
NPI Enumeration Date12/23/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 245 $7K
2019 204 $5K
2020 62 $2K
2021 516 $14K
2022 584 $16K
2023 319 $8K
2024 153 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 407 406 $19K
D0120 Periodic oral evaluation - established patient 642 637 $16K
D0272 Bitewings - two radiographic images 544 539 $11K
D1208 Topical application of fluoride, excluding varnish 475 471 $9K
D1120 Prophylaxis - child 15 15 $531.50