Medicaid Provider Spending

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

WARISE FAMILY DENTISTRY PC

NPI: 1710062120 · SMYRNA, TN 37167 · General Practice Dentistry · NPI assigned 10/25/2006

$29K
Total Medicaid Paid
1,423
Total Claims
1,329
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARISE, TIMOTHY (OWNER, CEO)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $292.80
2019 71 $1K
2020 64 $1K
2021 249 $5K
2022 280 $6K
2023 337 $7K
2024 410 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 518 492 $11K
D1206 Topical application of fluoride varnish 516 490 $10K
D1110 Prophylaxis - adult 87 79 $3K
D0274 Bitewings - four radiographic images 68 59 $1K
D0220 Intraoral - periapical first radiographic image 122 109 $1K
D1120 Prophylaxis - child 39 37 $1K
D0230 Intraoral - periapical each additional radiographic image 73 63 $581.26