Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › TUPELO › RICHARD B WARRINER DDS PA

RICHARD B WARRINER DDS PA

NPI: 1558464123 · TUPELO, MS 38801 · Pediatric Dentist · NPI assigned 09/07/2006

$924.02
Total Medicaid Paid
3,314
Total Claims
1,195
Beneficiaries
6
Codes Billed
2018-07
First Month
2020-11
Last Month

Provider Details

Authorized OfficialSUMNER, TRICE (PEDIATRIC DENTIST OWNER)
NPI Enumeration Date09/07/2006

Related Entities

Other providers sharing the same authorized official: SUMNER, TRICE

ProviderCityStateTotal Paid
CHILDREN'S DENTAL CLINIC, PA TUPELO MS $85K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 629 $0.00
2019 1,885 $0.00
2020 800 $924.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 588 168 $257.20
D1120 Prophylaxis - child 1,081 404 $216.78
D0272 Bitewings - two radiographic images 213 79 $179.48
D1208 Topical application of fluoride, excluding varnish 747 276 $140.28
D0120 Periodic oral evaluation - established patient 658 256 $130.28
D0220 Intraoral - periapical first radiographic image 27 12 $0.00