Medicaid Provider Spending

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

EXO DENTAL PLLC

NPI: 1730851296 · ROGERS, AR 72758 · General Practice Dentistry · NPI assigned 10/04/2021

$6K
Total Medicaid Paid
157
Total Claims
154
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, JACOB (DENTIST, BUSINESS OWNER)
NPI Enumeration Date10/04/2021

Related Entities

Other providers sharing the same authorized official: SMITH, JACOB

ProviderCityStateTotal Paid
JACOB T SMITH OD PLLC NORMAN OK $715K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 76 $3K
2024 81 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 115 112 $5K
D0140 Limited oral evaluation - problem focused 30 30 $920.27
D0120 Periodic oral evaluation - established patient 12 12 $319.20