Medicaid Provider Spending

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

REBEKAH W. BRANSCUM, DMD, PSC

NPI: 1528611381 · NANCY, KY 42544 · Dental Clinic/Center · NPI assigned 07/22/2019

$5K
Total Medicaid Paid
164
Total Claims
163
Beneficiaries
6
Codes Billed
2022-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHATFIELD, BECKY (OFFICE MANAGER)
NPI Enumeration Date07/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 137 $4K
2024 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 66 66 $2K
D1120 Prophylaxis - child 27 27 $2K
D1110 Prophylaxis - adult 13 13 $638.28
D0120 Periodic oral evaluation - established patient 14 14 $385.00
D0220 Intraoral - periapical first radiographic image 28 27 $226.64
D1206 Topical application of fluoride varnish 16 16 $190.50