Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MS › Indianola › NPI 1295056034
Dental

Rose, Cassey

Rose, Cassey was paid $1.28M by Medicaid between Jan 2018 and May 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoROSE, CASSEY
INDIANOLA, MS 38751
33aNPI1295056034assigned 06/16/2010
28Total paid$1.28M
24GClaims30,845
24DCodes billed18
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#22 of 379
Median peer was paid$78K
This provider vs. median16×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201812,178$394K
20197,231$348K
20204,811$251K
20212,947$128K
20222,585$107K
20231,066$46K
2024incomplete27$664.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 24% 3,635 1,752 $303K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 22% 2,673 1,452 $285K
D1120 Dental cleaning, childProphylaxis - child 8.4% 4,815 3,706 $107K
D0140 Limited oral evaluation - problem focused 7.5% 2,889 2,265 $95K
D0150 Comprehensive oral evaluation - new or established patient 6.9% 3,305 2,292 $88K
D1206 Topical application of fluoride varnish 5.8% 4,092 3,088 $74K
D0274 Bitewings - four radiographic images 5.2% 3,121 2,274 $67K
D2394 4.9% 549 328 $62K
D0330 Panoramic radiographic image 4.6% 1,411 1,142 $59K
D0210 Intraoral - complete series of radiographic images 2.7% 564 524 $34K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.4% 1,273 1,185 $30K
D7140 Extraction, erupted tooth or exposed root 1.5% 433 155 $20K
6 more codes
D1351 Sealant - per tooth <1% 469 $12K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 154 $11K
D0350 <1% 416 $11K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 273 $8K
D0220 Intraoral - periapical first radiographic image <1% 457 $4K
D1208 Topical application of fluoride, excluding varnish <1% 316 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.