Medicaid Provider Spending

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

PHIPPS FAMILY DENTISTRY

NPI: 1306469382 · CENTERTON, AR 72719 · Dentist · NPI assigned 05/25/2020

$25K
Total Medicaid Paid
1,034
Total Claims
948
Beneficiaries
8
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPHIPPS, ANDREW (OWNER/PRESIDENT)
NPI Enumeration Date05/25/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $319.20
2021 206 $3K
2022 325 $9K
2023 276 $7K
2024 215 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 462 426 $10K
D1110 Prophylaxis - adult 224 206 $9K
D0220 Intraoral - periapical first radiographic image 241 217 $3K
D1206 Topical application of fluoride varnish 35 34 $638.40
D1120 Prophylaxis - child 15 13 $469.30
D0230 Intraoral - periapical each additional radiographic image 28 27 $313.29
D0272 Bitewings - two radiographic images 14 12 $296.40
D1208 Topical application of fluoride, excluding varnish 15 13 $279.30