Medicaid Provider Spending

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

KINCAID DENTAL CENTER

NPI: 1932874260 · FLOWOOD, MS 39232 · General Practice Dentistry · NPI assigned 08/10/2021

$8K
Total Medicaid Paid
340
Total Claims
302
Beneficiaries
4
Codes Billed
2023-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialARRINGTON, LATARSHA (MANAGER)
NPI Enumeration Date08/10/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 118 $3K
2024 222 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 115 104 $3K
D1208 Topical application of fluoride, excluding varnish 166 146 $3K
D0330 Panoramic radiographic image 44 40 $2K
D0150 Comprehensive oral evaluation - new or established patient 15 12 $472.60