Medicaid Provider Spending

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

RUSSELL C. BRORSEN, D.D.S., P.L.L.C.

NPI: 1417304742 · STILLWATER, OK 74075 · General Practice Dentistry · NPI assigned 05/17/2016

$20K
Total Medicaid Paid
924
Total Claims
857
Beneficiaries
9
Codes Billed
2021-10
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBRORSEN, RUSSELL (OWNER)
NPI Enumeration Date05/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 107 $3K
2022 429 $9K
2023 388 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 256 256 $5K
D1110 Prophylaxis - adult 101 101 $4K
D1206 Topical application of fluoride varnish 211 211 $4K
D0140 Limited oral evaluation - problem focused 63 62 $2K
D0220 Intraoral - periapical first radiographic image 95 94 $1K
D1120 Prophylaxis - child 38 38 $1K
D0230 Intraoral - periapical each additional radiographic image 132 67 $977.06
D0330 Panoramic radiographic image 14 14 $682.78
D0150 Comprehensive oral evaluation - new or established patient 14 14 $435.18