Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › CLARENDON › MID-DELTA HEALTH SYSTEMS, INC

MID-DELTA HEALTH SYSTEMS, INC

NPI: 1629287875 · CLARENDON, AR 72029 · Dental Clinic/Center · NPI assigned 05/22/2007

$6K
Total Medicaid Paid
285
Total Claims
259
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBROADNAX, REBECCA (AR/BILLING/CRED MANAGER)
Parent OrganizationMID-DELTA HEALTH SYSTEMS, INC.
NPI Enumeration Date05/22/2007

Related Entities

Other providers sharing the same authorized official: BROADNAX, REBECCA

ProviderCityStateTotal Paid
MID-DELTA HEALTH SYSTEMS INC CLARENDON AR $4.02M
MID-DELTA HEALTH SYSTEMS, INC. DE WITT AR $82K
MID-DELTA HEALTH SYSTEMS, INC. STUTTGART AR $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 14 $252.70
2023 91 $2K
2024 180 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 127 112 $2K
D1110 Prophylaxis - adult 62 53 $2K
D0220 Intraoral - periapical first radiographic image 84 82 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $536.75