Medicaid Provider Spending

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

GRAY DENTAL CARE, PC

NPI: 1912160912 · NASHVILLE, TN 37204 · General Practice Dentistry · NPI assigned 07/09/2008

$19K
Total Medicaid Paid
700
Total Claims
674
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialGRAY, PHILLIP (CEO)
NPI Enumeration Date07/09/2008

Related Entities

Other providers sharing the same authorized official: GRAY, PHILLIP

ProviderCityStateTotal Paid
DR. PHILLIP H. GRAY, P.A. IUKA MS $110K
MIDSOUTH VISION SERVICE IUKA MS $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $6K
2019 196 $6K
2020 137 $4K
2021 12 $429.06
2023 109 $2K
2024 52 $710.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 220 213 $9K
D0120 Periodic oral evaluation - established patient 214 207 $5K
D1208 Topical application of fluoride, excluding varnish 94 94 $2K
D1120 Prophylaxis - child 39 36 $1K
D0220 Intraoral - periapical first radiographic image 93 87 $1K
D0274 Bitewings - four radiographic images 40 37 $992.60