Medicaid Provider Spending

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

AUSTIN FAMILY DENTISTRY

NPI: 1922217314 · VICKSBURG, MS 39180 · General Practice Dentistry · NPI assigned 05/22/2007

$23K
Total Medicaid Paid
968
Total Claims
897
Beneficiaries
7
Codes Billed
2019-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAUSTIN, MISTY (PRESIDENT)
NPI Enumeration Date05/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 227 $5K
2020 100 $1K
2021 170 $4K
2022 287 $7K
2023 119 $4K
2024 65 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 377 353 $10K
D1206 Topical application of fluoride varnish 229 210 $5K
D0120 Periodic oral evaluation - established patient 149 145 $4K
D0150 Comprehensive oral evaluation - new or established patient 92 77 $3K
D0274 Bitewings - four radiographic images 56 52 $1K
D0140 Limited oral evaluation - problem focused 12 12 $482.36
D1999 53 48 $0.00