Medicaid Provider Spending

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

S&P VENTURES LLC

NPI: 1699211516 · PELAHATCHIE, MS 39145 · General Practice Dentistry · NPI assigned 01/17/2017

$1K
Total Medicaid Paid
476
Total Claims
83
Beneficiaries
4
Codes Billed
2018-07
First Month
2019-03
Last Month

Provider Details

Authorized OfficialPLEASANT, CHANDLER (OWNER)
NPI Enumeration Date01/17/2017

Related Entities

Other providers sharing the same authorized official: PLEASANT, CHANDLER

ProviderCityStateTotal Paid
MISSISSIPPI DENTAL CENTER OF PELAHATCHIE PELAHATCHIE MS $313.74

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 428 $0.00
2019 48 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 35 24 $1K
D1120 Prophylaxis - child 156 28 $343.20
D0150 Comprehensive oral evaluation - new or established patient 143 16 $0.00
D1206 Topical application of fluoride varnish 142 15 $0.00