Medicaid Provider Spending

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

NPI: 1346810306 · WIGGINS, MS 39577 · Dental Clinic/Center · NPI assigned 06/30/2021

$5K
Total Medicaid Paid
234
Total Claims
208
Beneficiaries
7
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMILLER, KELLY (CREDENTIALING SPECIALIST)
NPI Enumeration Date06/30/2021

Related Entities

Other providers sharing the same authorized official: MILLER, KELLY

ProviderCityStateTotal Paid
RICHLAND MEDICAL CENTER, INC. RICHLAND MO $3.43M
RICHLAND MEDICAL CENTER, INC. OSAGE BEACH MO $1.55M
RICHLAND MEDICAL CENTER, INC. ELDON MO $371K
RICHLAND MEDICAL CENTER, INC. GRAVOIS MILLS MO $208K
RICHLAND MEDICAL CENTER, INC. LAKE OZARK MO $163K
HERITAGE FAMILY DENTAL QUITMAN MS $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 116 $2K
2024 118 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 66 55 $1K
D1120 Prophylaxis - child 55 51 $1K
D0140 Limited oral evaluation - problem focused 30 26 $951.84
D1206 Topical application of fluoride varnish 21 21 $527.80
D0120 Periodic oral evaluation - established patient 14 14 $395.42
D0274 Bitewings - four radiographic images 13 13 $296.96
D0220 Intraoral - periapical first radiographic image 35 28 $179.63