Medicaid Provider Spending

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

RONNIE L FAULKNER, DDS, PA

NPI: 1912500364 · MOUNT IDA, AR 71957 · Dental Clinic/Center · NPI assigned 11/18/2020

$41K
Total Medicaid Paid
1,341
Total Claims
1,291
Beneficiaries
4
Codes Billed
2021-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialFAULKNER, RONNIE (PRESIDE)
NPI Enumeration Date11/18/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 257 $7K
2022 480 $15K
2023 444 $13K
2024 160 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 747 717 $19K
D1110 Prophylaxis - adult 403 386 $18K
D1208 Topical application of fluoride, excluding varnish 123 121 $2K
D0272 Bitewings - two radiographic images 68 67 $2K