Medicaid Provider Spending

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

DENTAL OASIS, P.C.

NPI: 1861782120 · MC CORDSVILLE, IN 46055 · General Practice Dentistry · NPI assigned 04/07/2011

$34K
Total Medicaid Paid
1,818
Total Claims
1,696
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialLARRABEE-DEWELL, KELLI (PRESIDENT/DENTIST)
NPI Enumeration Date04/07/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 439 $2K
2019 593 $15K
2020 521 $11K
2021 265 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 662 617 $11K
D1110 Prophylaxis - adult 247 225 $10K
D1206 Topical application of fluoride varnish 579 549 $9K
D1120 Prophylaxis - child 184 170 $4K
D0274 Bitewings - four radiographic images 44 43 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 23 19 $123.80
D1999 79 73 $40.00