Medicaid Provider Spending

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

ACCESS DENTAL SERVICES LP

NPI: 1659018208 · SPRINGFIELD, MO 65802 · General Practice Dentistry · NPI assigned 05/16/2022

$49K
Total Medicaid Paid
1,307
Total Claims
905
Beneficiaries
7
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHICKS, KARI (GENERAL MANAGER)
NPI Enumeration Date05/16/2022

Related Entities

Other providers sharing the same authorized official: HICKS, KARI

ProviderCityStateTotal Paid
ACCESS DENTAL SERVICES LP SPRINGFIELD MO $264K
ACCESS DENTAL SERVICES LP ROLLA MO $195K
ACCESS DENTAL SERVICES LP MOUNTAIN GROVE MO $116K
ACCESS DENTAL SERVICES LP OSAGE BEACH MO $89K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 453 $19K
2024 854 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 288 256 $18K
D0150 Comprehensive oral evaluation - new or established patient 212 189 $11K
D7140 Extraction, erupted tooth or exposed root 128 26 $5K
D0220 Intraoral - periapical first radiographic image 241 212 $5K
D0274 Bitewings - four radiographic images 104 93 $4K
D0230 Intraoral - periapical each additional radiographic image 265 66 $3K
D0140 Limited oral evaluation - problem focused 69 63 $3K