Medicaid Provider Spending

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

O'BRYAN DENTAL CLINIC

NPI: 1639424963 · BRANDON, MS 39042 · Dentist · NPI assigned 07/24/2012

$27K
Total Medicaid Paid
1,747
Total Claims
1,235
Beneficiaries
7
Codes Billed
2018-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialO'BRYAN, TANYA (OWNER/DENTIST)
NPI Enumeration Date07/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 579 $2K
2019 502 $14K
2020 363 $5K
2021 126 $779.47
2022 87 $2K
2023 12 $383.46
2024 78 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 569 405 $11K
D1206 Topical application of fluoride varnish 525 363 $8K
D0150 Comprehensive oral evaluation - new or established patient 265 118 $4K
D0210 Intraoral - complete series of radiographic images 25 25 $2K
D0120 Periodic oral evaluation - established patient 74 67 $2K
D0140 Limited oral evaluation - problem focused 17 14 $543.70
D1999 272 243 $0.00