Medicaid Provider Spending

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

GROWING SMILES OF PICAYUNE, PLLC

NPI: 1871734715 · PICAYUNE, MS 39466 · General Practice Dentistry · NPI assigned 03/23/2009

$31K
Total Medicaid Paid
893
Total Claims
886
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialCOMBS, HORACE (MEMBER)
NPI Enumeration Date03/23/2009

Related Entities

Other providers sharing the same authorized official: COMBS, HORACE

ProviderCityStateTotal Paid
PICAYUNE GENERAL DENTISTRY, INC. PICAYUNE MS $3.56M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 893 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 246 244 $10K
D0330 Panoramic radiographic image 184 184 $9K
D1120 Prophylaxis - child 247 245 $7K
D1206 Topical application of fluoride varnish 108 106 $2K
D0140 Limited oral evaluation - problem focused 44 43 $2K
D1208 Topical application of fluoride, excluding varnish 39 39 $572.64
D0274 Bitewings - four radiographic images 12 12 $342.72
D0272 Bitewings - two radiographic images 13 13 $263.90