Medicaid Provider Spending

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

NPI: 1376062257 · OXFORD, MS 38655 · Dental Clinic/Center · NPI assigned 09/12/2017

$2K
Total Medicaid Paid
317
Total Claims
212
Beneficiaries
6
Codes Billed
2018-08
First Month
2019-05
Last Month

Provider Details

Authorized OfficialGARNER, TERRY (OWNER)
NPI Enumeration Date09/12/2017

Related Entities

Other providers sharing the same authorized official: GARNER, TERRY

ProviderCityStateTotal Paid
VICKSBURG FAMILY DENTAL VICKSBURG MS $2.64M
DENTAL GROUP OF ELLISVILLE, PLLC ELLISVILLE MS $1.66M
VICKSBURG FAMILY DENTAL 61N VICKSBURG MS $493K
DENTAL GROUP OF MAGEE PLLC MAGEE MS $266K
MAGNOLIA FAMILY DENTAL, PLLC MAGNOLIA MS $113K
DENTAL SOLUTIONS OF CLINTON, PLLC CLINTON MS $2K
GAUTIER FAMILY DENTAL GAUTIER MS $569.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $2K
2019 145 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 93 59 $694.55
D1206 Topical application of fluoride varnish 86 55 $405.85
D1120 Prophylaxis - child 53 47 $401.91
D0140 Limited oral evaluation - problem focused 54 25 $368.90
D0330 Panoramic radiographic image 15 12 $0.00
D0220 Intraoral - periapical first radiographic image 16 14 $0.00