Medicaid Provider Spending

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

MISSISSIPPI SMILES DENTISTRY LLC

NPI: 1346782893 · JACKSON, MS 39213 · General Practice Dentistry · NPI assigned 11/15/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more

$2.45M
Total Medicaid Paid
92,720
Total Claims
72,845
Beneficiaries
24
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZWICKY, TERESA (CREDENTIALING MANAGER)
NPI Enumeration Date11/15/2016

Related Entities

Other providers sharing the same authorized official: ZWICKY, TERESA

ProviderCityStateTotal Paid
ROBERTS, WALLACE & ASSOCIATES PLLC GREENSBORO NC $42.13M
HAPPY SMILES LLC HORN LAKE MS $17.37M
YUMA DENTISTRY 4 KIDS PLLC YUMA AZ $16.57M
HAPPY SMILES DENTISTRY - TUPELO LLC TUPELO MS $16.23M
HAPPY SMILES DENTISTRY-MERIDIAN LLC MERIDIAN MS $12.94M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC PASCAGOULA MS $11.58M
ROBERTS & ASSOCIATES - GREENSBORO PLLC GREENSBORO NC $10.81M
FLAGSTAFF DENTISTRY 4 KIDS, PLLC FLAGSTAFF AZ $10.35M
MISSISSIPPI SMILES DENTISTRY LLC JACKSON MS $10.21M
ROBERTS & ASSOCIATES PLLC WILMINGTON NC $9.67M
E. P. DENTISTRY 4 KIDS, PLLC EL PASO TX $8.09M
GENERAL DENTISTRY 4 KIDS-VALENCIA PLLC TUCSON AZ $7.76M
ROBERTS KAMP & ASSOCIATES PLLC GREENVILLE NC $6.39M
MIDLAND DENTISTRY 4 KIDS, PLLC MIDLAND TX $6.37M
E. P. DENTISTRY 4 KIDS 1, PLLC EL PASO TX $6.07M
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC TUCSON AZ $5.17M
BRADLEY ROBERTS & ASSOCIATES PLLC THOMASVILLE NC $5.16M
EP DENTISTRY 4 KIDS - MESA PLLC EL PASO TX $4.85M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC GULFPORT MS $4.80M
GENERAL DENTISTRY FOR KIDS LLC TUCSON AZ $4.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 627 $19K
2019 5,559 $119K
2020 7,785 $179K
2021 14,668 $393K
2022 17,983 $458K
2023 20,608 $631K
2024 25,490 $653K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,818 12,930 $400K
D1351 Sealant - per tooth 14,338 2,714 $374K
D1206 Topical application of fluoride varnish 12,766 12,029 $312K
D0120 Periodic oral evaluation - established patient 7,697 7,094 $199K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,910 1,067 $195K
D2930 Prefabricated stainless steel crown - primary tooth 1,523 385 $192K
D0150 Comprehensive oral evaluation - new or established patient 4,000 3,820 $170K
D0272 Bitewings - two radiographic images 5,980 5,578 $114K
D0330 Panoramic radiographic image 1,763 1,678 $95K
D0274 Bitewings - four radiographic images 3,081 2,894 $85K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2,127 1,830 $61K
D0220 Intraoral - periapical first radiographic image 4,915 4,659 $60K
D0350 2,041 2,028 $58K
D0230 Intraoral - periapical each additional radiographic image 5,152 3,521 $52K
D7140 Extraction, erupted tooth or exposed root 353 190 $27K
D9248 595 539 $26K
D1208 Topical application of fluoride, excluding varnish 706 606 $10K
D0145 Oral evaluation for a patient under three years of age 272 255 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 80 50 $6K
D0210 Intraoral - complete series of radiographic images 47 47 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 18 12 $3K
D0140 Limited oral evaluation - problem focused 69 60 $3K
D1110 Prophylaxis - adult 17 17 $249.47
D0603 9,452 8,842 $0.00