Medicaid Provider Spending

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

OAKWOOD FAMILY DENTISTRY

NPI: 1699229518 · CLAREMORE, OK 74017 · General Practice Dentistry · NPI assigned 08/09/2016

$2K
Total Medicaid Paid
131
Total Claims
131
Beneficiaries
4
Codes Billed
2018-07
First Month
2023-08
Last Month

Provider Details

Authorized OfficialKECK, MARYN (OFFICE MANAGER)
NPI Enumeration Date08/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $169.08
2019 67 $1K
2021 24 $365.76
2023 28 $673.62

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 65 65 $965.12
D1206 Topical application of fluoride varnish 39 39 $633.13
D1120 Prophylaxis - child 14 14 $427.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $406.25