Medicaid Provider Spending

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

SCOT SHADID DDS

NPI: 1447441373 · SHAWNEE, OK 74804 · Dental Clinic/Center · NPI assigned 08/06/2007

$41K
Total Medicaid Paid
2,081
Total Claims
2,066
Beneficiaries
5
Codes Billed
2021-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSHADID, SCOT (OWNER)
NPI Enumeration Date08/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 86 $2K
2022 850 $17K
2023 764 $15K
2024 381 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 843 837 $16K
D1208 Topical application of fluoride, excluding varnish 796 792 $11K
D1120 Prophylaxis - child 252 252 $7K
D1110 Prophylaxis - adult 135 133 $6K
D1320 55 52 $1K