Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › LAUREL › TILLERY DENTAL CLINICS, P.A.

TILLERY DENTAL CLINICS, P.A.

NPI: 1376656041 · LAUREL, MS 39440 · General Practice Dentistry · NPI assigned 08/16/2006

$8K
Total Medicaid Paid
778
Total Claims
394
Beneficiaries
5
Codes Billed
2018-07
First Month
2021-11
Last Month

Provider Details

Authorized OfficialTILLERY, DOUGLAS (OWNER)
NPI Enumeration Date08/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 495 $3K
2020 87 $2K
2021 196 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 255 132 $3K
D1206 Topical application of fluoride varnish 244 118 $2K
D0330 Panoramic radiographic image 60 46 $2K
D0150 Comprehensive oral evaluation - new or established patient 178 60 $2K
D0120 Periodic oral evaluation - established patient 41 38 $443.91