Medicaid Provider Spending

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

RED DIRT ORTHODONTICS PLLC

NPI: 1851811293 · OKLAHOMA CITY, OK 73132 · Dental Clinic/Center · NPI assigned 06/27/2017

$3.86M
Total Medicaid Paid
10,504
Total Claims
10,495
Beneficiaries
5
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialERICKSON, KOLTON (PRESIDENT)
NPI Enumeration Date06/27/2017

Related Entities

Other providers sharing the same authorized official: ERICKSON, KOLTON

ProviderCityStateTotal Paid
ERICKSON DMD PC CASPER WY $65K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 795 $225K
2022 4,103 $1.47M
2023 4,072 $1.52M
2024 1,534 $653K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 2,911 2,911 $3.51M
D0340 2,336 2,332 $135K
D9310 2,347 2,344 $114K
D0350 2,210 2,208 $67K
D0330 Panoramic radiographic image 700 700 $34K