Medicaid Provider Spending

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

WEST MEMPHIS DENTAL GROUP

NPI: 1780352948 · WEST MEMPHIS, AR 72301 · Dental Clinic/Center · NPI assigned 09/02/2021

$25K
Total Medicaid Paid
1,157
Total Claims
1,088
Beneficiaries
8
Codes Billed
2022-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHILDENBRAND, BRETT (CEO)
NPI Enumeration Date09/02/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 135 $3K
2023 722 $16K
2024 300 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 139 133 $6K
D0220 Intraoral - periapical first radiographic image 307 285 $5K
D0120 Periodic oral evaluation - established patient 199 189 $5K
D0272 Bitewings - two radiographic images 152 146 $3K
D1208 Topical application of fluoride, excluding varnish 165 159 $3K
D0230 Intraoral - periapical each additional radiographic image 135 124 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 48 40 $927.60
D0140 Limited oral evaluation - problem focused 12 12 $273.60