Medicaid Provider Spending

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

RMW DMD, PA

NPI: 1598282162 · OCEAN SPRINGS, MS 39564 · General Practice Dentistry · NPI assigned 08/24/2017

$48K
Total Medicaid Paid
2,283
Total Claims
1,950
Beneficiaries
9
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEWIS, KARI (OFFICE MANAGER)
NPI Enumeration Date08/24/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 64 $2K
2020 209 $4K
2021 199 $5K
2022 609 $14K
2023 813 $16K
2024 389 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 791 671 $18K
D1206 Topical application of fluoride varnish 528 461 $10K
D0120 Periodic oral evaluation - established patient 349 302 $7K
D0274 Bitewings - four radiographic images 349 296 $7K
D0150 Comprehensive oral evaluation - new or established patient 125 101 $4K
D0330 Panoramic radiographic image 61 46 $1K
D0140 Limited oral evaluation - problem focused 30 28 $1K
D0220 Intraoral - periapical first radiographic image 16 15 $158.15
D1999 34 30 $0.00