Medicaid Provider Spending

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

JAMIE C. TALLEY, PC

NPI: 1558483040 · EDMOND, OK 73034 · General Practice Dentistry · NPI assigned 04/04/2007

$27K
Total Medicaid Paid
1,328
Total Claims
1,327
Beneficiaries
6
Codes Billed
2018-03
First Month
2022-07
Last Month

Provider Details

Authorized OfficialTALLEY, JAMIE (DENTIST)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144 $3K
2019 371 $8K
2020 366 $8K
2021 332 $7K
2022 115 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 456 456 $10K
D1120 Prophylaxis - child 288 288 $9K
D1206 Topical application of fluoride varnish 499 498 $7K
D1208 Topical application of fluoride, excluding varnish 47 47 $702.48
D1110 Prophylaxis - adult 12 12 $522.72
D0272 Bitewings - two radiographic images 26 26 $463.62