Medicaid Provider Spending

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

JONES FAMILY DENTISTRY LLC

NPI: 1437424272 · FLORA, IN 46929 · General Practice Dentistry · NPI assigned 03/13/2012

$73K
Total Medicaid Paid
2,930
Total Claims
2,358
Beneficiaries
10
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJONES, HARRY (OWNER)
NPI Enumeration Date03/13/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 102 $1K
2019 211 $7K
2020 570 $12K
2021 442 $11K
2022 455 $14K
2023 613 $19K
2024 537 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,083 861 $41K
D0120 Periodic oral evaluation - established patient 1,362 1,105 $25K
D1120 Prophylaxis - child 94 81 $3K
D0330 Panoramic radiographic image 18 17 $1K
D1208 Topical application of fluoride, excluding varnish 41 39 $917.99
D0150 Comprehensive oral evaluation - new or established patient 16 16 $610.60
D1206 Topical application of fluoride varnish 27 25 $556.25
D0274 Bitewings - four radiographic images 14 14 $545.13
D0140 Limited oral evaluation - problem focused 13 12 $496.84
D1999 262 188 $260.00