Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › QUITMAN › HERITAGE FAMILY DENTAL

HERITAGE FAMILY DENTAL

NPI: 1699358739 · QUITMAN, MS 39355 · Dental Clinic/Center · NPI assigned 05/05/2021

$30K
Total Medicaid Paid
1,126
Total Claims
1,013
Beneficiaries
7
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMILLER, KELLY (CREDENTIALING SPECIALIST)
NPI Enumeration Date05/05/2021

Related Entities

Other providers sharing the same authorized official: MILLER, KELLY

ProviderCityStateTotal Paid
RICHLAND MEDICAL CENTER, INC. RICHLAND MO $3.43M
RICHLAND MEDICAL CENTER, INC. OSAGE BEACH MO $1.55M
RICHLAND MEDICAL CENTER, INC. ELDON MO $371K
RICHLAND MEDICAL CENTER, INC. GRAVOIS MILLS MO $208K
RICHLAND MEDICAL CENTER, INC. LAKE OZARK MO $163K
DENTAL GROUP OF WIGGINS WIGGINS MS $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 513 $15K
2023 472 $11K
2024 141 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 357 323 $10K
D0150 Comprehensive oral evaluation - new or established patient 254 231 $7K
D1206 Topical application of fluoride varnish 338 307 $7K
D0210 Intraoral - complete series of radiographic images 57 53 $4K
D0120 Periodic oral evaluation - established patient 34 30 $823.88
D0220 Intraoral - periapical first radiographic image 71 57 $804.79
D0140 Limited oral evaluation - problem focused 15 12 $524.47