Medicaid Provider Spending

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

JON A. BARNES, DDS, PLLC

NPI: 1396237657 · MUSTANG, OK 73064 · Dental Clinic/Center · NPI assigned 06/03/2018

$79K
Total Medicaid Paid
2,990
Total Claims
2,945
Beneficiaries
11
Codes Billed
2021-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBARNES, JON (MEMBER)
NPI Enumeration Date06/03/2018

Related Entities

Other providers sharing the same authorized official: BARNES, JON

ProviderCityStateTotal Paid
SOUTH SHREVEPORT FAMILY MEDICINE, LLC SHREVEPORT LA $204K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 73 $2K
2022 708 $18K
2023 1,504 $40K
2024 705 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 326 326 $15K
D1120 Prophylaxis - child 357 354 $11K
D0120 Periodic oral evaluation - established patient 477 474 $10K
D0150 Comprehensive oral evaluation - new or established patient 320 314 $10K
D0274 Bitewings - four radiographic images 271 271 $9K
D0330 Panoramic radiographic image 169 167 $9K
D0220 Intraoral - periapical first radiographic image 461 444 $7K
D1206 Topical application of fluoride varnish 237 235 $4K
D0230 Intraoral - periapical each additional radiographic image 263 252 $2K
D0272 Bitewings - two radiographic images 79 79 $1K
D0140 Limited oral evaluation - problem focused 30 29 $927.06