Medicaid Provider Spending

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

BRYAN E BONNET DDS PC INC

NPI: 1356067474 · GLENPOOL, OK 74033 · Dental Clinic/Center · NPI assigned 10/19/2022

$64K
Total Medicaid Paid
2,926
Total Claims
2,769
Beneficiaries
9
Codes Billed
2022-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBONNET, BRYAN (OWNER/DENTIST)
NPI Enumeration Date10/19/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 161 $3K
2023 1,776 $39K
2024 989 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 328 312 $15K
D0120 Periodic oral evaluation - established patient 709 678 $15K
D1206 Topical application of fluoride varnish 590 571 $11K
D1120 Prophylaxis - child 296 282 $9K
D0220 Intraoral - periapical first radiographic image 536 489 $8K
D0230 Intraoral - periapical each additional radiographic image 379 349 $3K
D0274 Bitewings - four radiographic images 59 59 $2K
D0330 Panoramic radiographic image 13 13 $635.07
D0272 Bitewings - two radiographic images 16 16 $292.64