HATTIESBURG COMMUNITY DENTAL CENTER
NPI: 1366468266
· HATTIESBURG, MS 39401
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/14/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ROBINSON, JANICE controls 20+ related entities in our dataset. Read more
$857K
Total Medicaid Paid
Provider Details
| Authorized Official | ROBINSON, JANICE (CEO) |
| Parent Organization | SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC |
| NPI Enumeration Date | 07/14/2006 |
Related Entities
Other providers sharing the same authorized official: ROBINSON, JANICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
814 |
$93K |
| 2019 |
1,294 |
$151K |
| 2020 |
567 |
$78K |
| 2021 |
1,402 |
$134K |
| 2022 |
2,268 |
$208K |
| 2023 |
1,056 |
$107K |
| 2024 |
1,136 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0140 |
Limited oral evaluation - problem focused |
6,199 |
5,392 |
$608K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,576 |
1,450 |
$239K |
| D1206 |
Topical application of fluoride varnish |
342 |
329 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
40 |
28 |
$3K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$2K |
| D1351 |
Sealant - per tooth |
129 |
36 |
$1K |
| D0330 |
Panoramic radiographic image |
15 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
12 |
$156.79 |
| D0603 |
|
53 |
50 |
$0.00 |
| D0601 |
|
18 |
18 |
$0.00 |
| D0602 |
|
14 |
14 |
$0.00 |
| D0190 |
|
102 |
102 |
$0.00 |