Medicaid Provider Spending

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

JOHN P. BISSON, D.D.S., P.L.L.C

NPI: 1427551126 · BROOKINGS, SD 57006 · Dental Clinic/Center · NPI assigned 03/09/2018

$43K
Total Medicaid Paid
1,236
Total Claims
1,204
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBISSON, JOHN (OWNER/DENTIST)
NPI Enumeration Date03/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $12K
2019 92 $3K
2021 77 $2K
2022 242 $9K
2023 284 $10K
2024 173 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 606 593 $19K
D1110 Prophylaxis - adult 284 275 $15K
D1206 Topical application of fluoride varnish 229 219 $5K
D1120 Prophylaxis - child 101 101 $4K
D0272 Bitewings - two radiographic images 16 16 $422.00