Medicaid Provider Spending

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

MITCHELL DENTAL CLINIC, INC

NPI: 1447610738 · FLOWOOD, MS 39232 · Dentist · NPI assigned 02/29/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more

$86K
Total Medicaid Paid
4,267
Total Claims
3,300
Beneficiaries
11
Codes Billed
2018-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMITCHELL, JOHN (OWNER)
NPI Enumeration Date02/29/2016

Related Entities

Other providers sharing the same authorized official: MITCHELL, JOHN

ProviderCityStateTotal Paid
MITCHELL DENTAL CLINIC, INC MACON MS $1.63M
MITCHELL DENTAL CLINIC, INC ACKERMAN MS $969K
BALBOA HEALTHCARE, INC. SAN DIEGO CA $812K
CANTALOUPE HOLDINGS, LLC SANTA MONICA CA $737K
PLEASANT HILLIDENCE OPCO, LLC PLEASANT HILL CA $617K
WEST VALLEYIDENCE OPCO, LLC WEST HILLS CA $454K
KUMQUAT HOLDINGS, LLC INGLEWOOD CA $119K
CUCUMBER HOLDINGS, LLC CHATSWORTH CA $68K
ONTARIOIDENCE OPCO, LLC ONTARIO CA $51K
DRAGONFRUIT HOLDINGS, LLC SAN JOSE CA $50K
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATE OF NEW MEXICO, P.A. ALBUQUERQUE NM $49K
PETUNIA HOLDINGS, LLC NAPA CA $45K
MAGNOLIA HOLDINGS, LLC ANDERSON CA $32K
DOUGLAS FIR HOLDINGS, LLC HUNTINGTON BEACH CA $24K
PETALUMAIDENCE OPCO, LLC PETALUMA CA $18K
NAPAIDENCE OPCO, LLC NAPA CA $17K
NORWAY MAPLE HOLDINGS, LLC NEWPORT BEACH CA $16K
SANTA ROSAIDENCE OPCO, LLC SANTA ROSA CA $15K
SPRUCE HOLDINGS, LLC VISALIA CA $12K
NIGHTSHADE HOLDINGS, LLC UKIAH CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 700 $3K
2019 571 $14K
2020 745 $17K
2021 926 $23K
2022 1,070 $25K
2023 231 $2K
2024 24 $750.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,134 873 $22K
D0330 Panoramic radiographic image 593 487 $17K
D0150 Comprehensive oral evaluation - new or established patient 741 526 $15K
D1206 Topical application of fluoride varnish 955 730 $15K
D0140 Limited oral evaluation - problem focused 176 153 $6K
D0274 Bitewings - four radiographic images 199 179 $4K
D0120 Periodic oral evaluation - established patient 171 159 $3K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 40 12 $3K
D0272 Bitewings - two radiographic images 152 100 $1K
D0220 Intraoral - periapical first radiographic image 88 67 $648.43
D1110 Prophylaxis - adult 18 14 $319.00