MITCHELL DENTAL CLINIC, INC
NPI: 1497981658
· MACON, MS 39341
· 1223G0001X
$1.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,116 |
$13K |
| 2019 |
466 |
$13K |
| 2020 |
4,494 |
$109K |
| 2021 |
11,331 |
$360K |
| 2022 |
13,157 |
$386K |
| 2023 |
11,781 |
$370K |
| 2024 |
9,822 |
$378K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
2,869 |
1,467 |
$276K |
| D1120 |
|
8,599 |
7,757 |
$229K |
| D1206 |
|
7,167 |
6,433 |
$158K |
| D0330 |
|
5,038 |
4,511 |
$155K |
| D0120 |
|
5,026 |
4,560 |
$129K |
| D1351 |
|
4,553 |
797 |
$120K |
| D0140 |
|
3,146 |
2,743 |
$101K |
| D0150 |
|
3,125 |
2,708 |
$100K |
| D0210 |
|
1,383 |
1,231 |
$91K |
| D0274 |
|
3,114 |
2,757 |
$59K |
| D2391 |
|
687 |
446 |
$55K |
| D2393 |
|
413 |
258 |
$50K |
| D0220 |
|
3,036 |
2,622 |
$25K |
| D0272 |
|
1,707 |
1,483 |
$22K |
| D7210 |
|
220 |
66 |
$15K |
| D1208 |
|
762 |
637 |
$12K |
| D1110 |
|
456 |
358 |
$12K |
| D0230 |
|
1,748 |
629 |
$12K |
| D7140 |
|
118 |
69 |
$9K |