Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › CANTON › CANTON COMMUNITYDENTALCLINICLLC

CANTON COMMUNITYDENTALCLINICLLC

NPI: 1568567477 · CANTON, MS 39046 · General Practice Dentistry · NPI assigned 09/14/2006

$319K
Total Medicaid Paid
14,585
Total Claims
11,740
Beneficiaries
11
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, TIMOTHY (DENTIST)
NPI Enumeration Date09/14/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, TIMOTHY

ProviderCityStateTotal Paid
EATON RAPIDS MEDICAL CENTER EATON RAPIDS MI $6.20M
EATON RAPIDS MEDICAL CENTER EATON RAPIDS MI $2.38M
COMMUNITY OUTREACH COUNSELING PC WILLMAR MN $1.10M
MOLAR SYSTEM PLLC KALISPELL MT $708K
URBAN MEDICAL GROUP, PLLC NEW YORK NY $252K
EATON RAPIDS MEDICAL CENTER EATON RAPIDS MI $244K
HEAR ON EARTH HEARING CARE CENTER LAS CRUCES NM $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,088 $12K
2019 1,748 $42K
2020 1,497 $34K
2021 2,066 $48K
2022 2,342 $55K
2023 2,420 $54K
2024 2,424 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 3,772 3,106 $91K
D0120 Periodic oral evaluation - established patient 2,341 2,149 $59K
D1208 Topical application of fluoride, excluding varnish 3,816 3,140 $52K
D0330 Panoramic radiographic image 758 623 $33K
D0272 Bitewings - two radiographic images 1,888 1,583 $27K
D0150 Comprehensive oral evaluation - new or established patient 1,068 647 $23K
D1351 Sealant - per tooth 459 106 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 87 26 $10K
D0350 252 233 $7K
D0140 Limited oral evaluation - problem focused 132 115 $5K
D0220 Intraoral - periapical first radiographic image 12 12 $138.60