Medicaid Provider Spending

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

ACCESS DENTAL SERVICES LP

NPI: 1821386459 · OSAGE BEACH, MO 65065 · General Practice Dentistry · NPI assigned 07/18/2011

$89K
Total Medicaid Paid
3,782
Total Claims
2,606
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHICKS, KARI (SR ADMINISTRATOR)
NPI Enumeration Date07/18/2011

Related Entities

Other providers sharing the same authorized official: HICKS, KARI

ProviderCityStateTotal Paid
ACCESS DENTAL SERVICES LP SPRINGFIELD MO $264K
ACCESS DENTAL SERVICES LP ROLLA MO $195K
ACCESS DENTAL SERVICES LP MOUNTAIN GROVE MO $116K
ACCESS DENTAL SERVICES LP SPRINGFIELD MO $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 870 $35K
2019 904 $21K
2020 326 $2K
2021 548 $2K
2022 261 $3K
2023 467 $17K
2024 406 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 475 135 $37K
D0220 Intraoral - periapical first radiographic image 1,203 1,058 $14K
D0330 Panoramic radiographic image 245 233 $13K
D0230 Intraoral - periapical each additional radiographic image 894 367 $9K
D0140 Limited oral evaluation - problem focused 384 357 $8K
D0150 Comprehensive oral evaluation - new or established patient 84 82 $4K
D0274 Bitewings - four radiographic images 68 64 $3K
D0190 308 217 $0.00
D1999 15 13 $0.00
D9912 106 80 $0.00