Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › HARRISON CITY › DENTISTRY FOR KIDS, INC

DENTISTRY FOR KIDS, INC

NPI: 1588701981 · HARRISON CITY, PA 15636 · Pediatric Dentist · NPI assigned 02/01/2007

$19K
Total Medicaid Paid
543
Total Claims
489
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialJACKSON, THOMAS (PRESIDENT)
NPI Enumeration Date02/01/2007

Related Entities

Other providers sharing the same authorized official: JACKSON, THOMAS

ProviderCityStateTotal Paid
THOMAS R JACKSON DDS PA MOUNT AIRY NC $151K
JACKSON DENTAL LAPEER MI $99K
MERCER MEDICAL ASSOCIATES PSC HARRODSBURG KY $84K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 319 $12K
2019 212 $7K
2024 12 $381.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 204 202 $6K
D0120 Periodic oral evaluation - established patient 164 162 $6K
D1120 Prophylaxis - child 100 98 $5K
D1351 Sealant - per tooth 62 14 $2K
D0272 Bitewings - two radiographic images 13 13 $650.00