Medicaid Provider Spending

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

BRIAN T. HOOPS, D.D.S. , P.A.

NPI: 1790018703 · BAILEYVILLE, ME 04694 · Dental Clinic/Center · NPI assigned 09/09/2009

$14K
Total Medicaid Paid
797
Total Claims
775
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialHOOPS, BRIAN (OWNER)
NPI Enumeration Date09/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 331 $5K
2019 144 $2K
2020 102 $2K
2021 164 $4K
2022 56 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 454 443 $5K
D1120 Prophylaxis - child 145 140 $4K
D1330 69 66 $845.00
D0120 Periodic oral evaluation - established patient 29 28 $840.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $825.00
D0330 Panoramic radiographic image 15 15 $645.00
D0140 Limited oral evaluation - problem focused 29 29 $580.00
D1110 Prophylaxis - adult 12 12 $440.00
D0274 Bitewings - four radiographic images 13 13 $260.00
D0220 Intraoral - periapical first radiographic image 15 13 $112.00