Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › UTICA › CENTRAL MISSISSIPPI OUTREACH, LLC

CENTRAL MISSISSIPPI OUTREACH, LLC

NPI: 1871915397 · UTICA, MS 39175 · Dentist · NPI assigned 01/17/2014

$47K
Total Medicaid Paid
1,815
Total Claims
1,564
Beneficiaries
7
Codes Billed
2018-04
First Month
2020-01
Last Month

Provider Details

Authorized OfficialHAUPTMAN, ROBERT (PARTNER)
NPI Enumeration Date01/17/2014

Related Entities

Other providers sharing the same authorized official: HAUPTMAN, ROBERT

ProviderCityStateTotal Paid
GLUCKSTADT FAMILY DENTISTRY, PA MADISON MS $51K
PINNACLE HOMECARE, LLC JACKSON NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 883 $22K
2019 883 $24K
2020 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 540 483 $18K
D1120 Prophylaxis - child 529 472 $13K
D1206 Topical application of fluoride varnish 576 519 $12K
D1351 Sealant - per tooth 100 20 $3K
D0274 Bitewings - four radiographic images 37 37 $1K
D0140 Limited oral evaluation - problem focused 20 20 $773.80
D0120 Periodic oral evaluation - established patient 13 13 $335.14