Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › JENKS › SALAYTA DDS PLLC

SALAYTA DDS PLLC

NPI: 1326516246 · JENKS, OK 74037 · General Practice Dentistry · NPI assigned 11/08/2018

$28K
Total Medicaid Paid
1,850
Total Claims
1,653
Beneficiaries
7
Codes Billed
2021-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialJOHNSON, KRISTEN (INSURANCE ADVISOR)
NPI Enumeration Date11/08/2018

Related Entities

Other providers sharing the same authorized official: JOHNSON, KRISTEN

ProviderCityStateTotal Paid
EMERGING HEALTH, LLC PORTLAND OR $677K
HONOR THY SMILE, PLLC MUSKOGEE OK $540K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 193 $2K
2022 1,225 $19K
2023 432 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 318 318 $6K
D1206 Topical application of fluoride varnish 401 401 $6K
D1120 Prophylaxis - child 192 192 $6K
D0220 Intraoral - periapical first radiographic image 342 342 $5K
D0230 Intraoral - periapical each additional radiographic image 496 299 $3K
D0274 Bitewings - four radiographic images 56 56 $2K
D1110 Prophylaxis - adult 45 45 $1K