Medicaid Provider Spending

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

ALLEN S BRAUMILLER JR DDS PC

NPI: 1689683609 · COWETA, OK 74429 · General Practice Dentistry · NPI assigned 08/07/2006

$21K
Total Medicaid Paid
796
Total Claims
737
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialBRAUMILLER, ALLEN (PRESIDENT)
NPI Enumeration Date08/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $6K
2019 118 $3K
2020 28 $597.80
2021 248 $8K
2022 80 $2K
2023 83 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 426 426 $9K
D7140 Extraction, erupted tooth or exposed root 96 39 $6K
D1120 Prophylaxis - child 65 65 $2K
D0272 Bitewings - two radiographic images 88 88 $2K
D1110 Prophylaxis - adult 27 27 $1K
D1208 Topical application of fluoride, excluding varnish 67 67 $964.44
D0220 Intraoral - periapical first radiographic image 27 25 $381.29