MCALESTER DENTISTRY & BRACES
NPI: 1417581547
· MCALESTER, OK 74501
· 261QD0000X
$535K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,579 |
$79K |
| 2021 |
5,111 |
$196K |
| 2022 |
3,864 |
$150K |
| 2023 |
2,386 |
$57K |
| 2024 |
2,522 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,490 |
785 |
$142K |
| D1110 |
|
1,346 |
1,340 |
$61K |
| D2393 |
|
428 |
255 |
$52K |
| D1206 |
|
2,433 |
2,416 |
$39K |
| D1120 |
|
1,283 |
1,262 |
$39K |
| D0220 |
|
1,937 |
1,756 |
$29K |
| D2391 |
|
479 |
342 |
$29K |
| D0120 |
|
1,247 |
1,225 |
$26K |
| D0140 |
|
866 |
847 |
$26K |
| D0274 |
|
786 |
780 |
$23K |
| D0330 |
|
354 |
354 |
$17K |
| D0230 |
|
2,174 |
958 |
$16K |
| D0150 |
|
463 |
463 |
$14K |
| D0272 |
|
502 |
502 |
$9K |
| D1208 |
|
315 |
309 |
$5K |
| D7140 |
|
50 |
12 |
$3K |
| D9230 |
|
108 |
95 |
$3K |
| D1351 |
|
113 |
41 |
$2K |
| D0350 |
|
19 |
19 |
$579.50 |
| D0603 |
|
41 |
38 |
$375.15 |
| D0602 |
|
28 |
19 |
$256.20 |