Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › DUNCAN › JAY LYNN WHITE, DDS, PC

JAY LYNN WHITE, DDS, PC

NPI: 1912255845 · DUNCAN, OK 73533 · Dentist · NPI assigned 08/27/2012

$15K
Total Medicaid Paid
682
Total Claims
682
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialWHITE, JAY (OWNER)
NPI Enumeration Date08/27/2012

Related Entities

Other providers sharing the same authorized official: WHITE, JAY

ProviderCityStateTotal Paid
ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC RAPID CITY SD $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 682 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 102 102 $4K
D0120 Periodic oral evaluation - established patient 211 211 $4K
D1120 Prophylaxis - child 136 136 $4K
D1208 Topical application of fluoride, excluding varnish 207 207 $3K
D0140 Limited oral evaluation - problem focused 14 14 $394.80
D0220 Intraoral - periapical first radiographic image 12 12 $169.08