Medicaid Provider Spending

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

BATON ROUGE FAMILY DENTISTRY

NPI: 1417428798 · BATON ROUGE, LA 70816 · Dental Clinic/Center · NPI assigned 12/11/2018

$47K
Total Medicaid Paid
1,356
Total Claims
1,323
Beneficiaries
8
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARMOUCHE, JAMIE (DENTIST/OWNER)
NPI Enumeration Date12/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 94 $3K
2022 180 $6K
2023 539 $17K
2024 543 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 296 286 $10K
D1120 Prophylaxis - child 228 222 $10K
D1110 Prophylaxis - adult 174 170 $10K
D1208 Topical application of fluoride, excluding varnish 390 383 $9K
D0272 Bitewings - two radiographic images 152 146 $4K
D0150 Comprehensive oral evaluation - new or established patient 72 72 $4K
D1206 Topical application of fluoride varnish 32 32 $1K
D9986 12 12 $0.00