Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › LAUREL › WILLIAMS FAMILY DENTISTRY

WILLIAMS FAMILY DENTISTRY

NPI: 1801136577 · LAUREL, MS 39440 · General Practice Dentistry · NPI assigned 02/18/2013

$176.07
Total Medicaid Paid
1,130
Total Claims
339
Beneficiaries
6
Codes Billed
2018-07
First Month
2020-01
Last Month

Provider Details

Authorized OfficialWILLIAMS, TRACY (OWNER)
NPI Enumeration Date02/18/2013

Related Entities

Other providers sharing the same authorized official: WILLIAMS, TRACY

ProviderCityStateTotal Paid
PATHFINDERS RESOURCES INC DANVILLE VA $62K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 863 $42.87
2019 226 $133.20
2020 41 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 518 164 $90.33
D0150 Comprehensive oral evaluation - new or established patient 311 94 $85.74
D1206 Topical application of fluoride varnish 96 24 $0.00
D1208 Topical application of fluoride, excluding varnish 64 16 $0.00
D0330 Panoramic radiographic image 89 28 $0.00
D0274 Bitewings - four radiographic images 52 13 $0.00