Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › WILLIAMSBURG › SMITH AND BROWN FAMILY DENTISTRY

SMITH AND BROWN FAMILY DENTISTRY

NPI: 1942586060 · WILLIAMSBURG, KY 40769 · General Practice Dentistry · NPI assigned 11/03/2011

$17K
Total Medicaid Paid
769
Total Claims
722
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialSMITH, MICHEAL (DENTIST)
NPI Enumeration Date11/03/2011

Related Entities

Other providers sharing the same authorized official: SMITH, MICHEAL

ProviderCityStateTotal Paid
HELPING HANDS ADULT DAY CENTER KANSAS CITY MO $201K
REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION OJAI CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $5K
2019 204 $5K
2020 319 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 461 440 $10K
D1110 Prophylaxis - adult 68 65 $3K
D0330 Panoramic radiographic image 52 50 $2K
D0272 Bitewings - two radiographic images 107 98 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 24 16 $1K
D0220 Intraoral - periapical first radiographic image 44 40 $281.30
D1208 Topical application of fluoride, excluding varnish 13 13 $180.00