DREAM TEAM FAMILY DENTISTRY, PLLC
NPI: 1306086954
· OLIVE BRANCH, MS 38654
· Dentist
· NPI assigned 02/23/2009
$178K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
274 |
$8K |
| 2019 |
220 |
$6K |
| 2020 |
13 |
$756.00 |
| 2021 |
2,150 |
$37K |
| 2022 |
2,431 |
$65K |
| 2023 |
2,312 |
$43K |
| 2024 |
1,159 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
968 |
814 |
$48K |
| D1120 |
Prophylaxis - child |
2,433 |
1,966 |
$46K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,490 |
2,005 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
1,361 |
1,073 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
903 |
772 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
103 |
96 |
$4K |
| D0274 |
Bitewings - four radiographic images |
163 |
134 |
$3K |
| D0330 |
Panoramic radiographic image |
48 |
44 |
$2K |
| D0272 |
Bitewings - two radiographic images |
77 |
54 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$342.00 |