Medicaid Provider Spending

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

PRENTISS A. PERKINS, D.D.S.

NPI: 1871944876 · MAMOU, LA 70554 · Dentist · NPI assigned 06/30/2016

$12K
Total Medicaid Paid
362
Total Claims
306
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialST. ANN, BETSY (SECRETARY)
NPI Enumeration Date06/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 362 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 39 18 $2K
D1120 Prophylaxis - child 78 70 $2K
D0120 Periodic oral evaluation - established patient 78 69 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 14 $2K
D1110 Prophylaxis - adult 27 27 $1K
D1208 Topical application of fluoride, excluding varnish 75 66 $1K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $663.18
D0272 Bitewings - two radiographic images 28 28 $557.18