Medicaid Provider Spending

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

COLLINS FAMILY DENTAL CARE

NPI: 1730265083 · COLLINS, MS 39428 · General Practice Dentistry · NPI assigned 10/30/2006

$35K
Total Medicaid Paid
1,536
Total Claims
1,182
Beneficiaries
7
Codes Billed
2018-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBASS, ROGER (CO-OWNER)
NPI Enumeration Date10/30/2006

Related Entities

Other providers sharing the same authorized official: BASS, ROGER

ProviderCityStateTotal Paid
CENTER AVENUE DENTAL CARE, LLC SUMRALL MS $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 422 $3K
2019 325 $10K
2020 293 $8K
2021 125 $4K
2022 123 $3K
2023 131 $4K
2024 117 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 631 453 $17K
D1120 Prophylaxis - child 494 397 $11K
D1208 Topical application of fluoride, excluding varnish 280 204 $3K
D0120 Periodic oral evaluation - established patient 65 63 $2K
D0274 Bitewings - four radiographic images 38 37 $1K
D0330 Panoramic radiographic image 15 15 $820.56
D0220 Intraoral - periapical first radiographic image 13 13 $188.85