Medicaid Provider Spending

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

MISSISSIPPI SMILES DENTISTRY LLC

NPI: 1952710154 · JACKSON, MS 39204 · General Practice Dentistry · NPI assigned 08/13/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more

$10.21M
Total Medicaid Paid
359,151
Total Claims
259,104
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZWICKY, TERESA (CREDENTIALING MANAGER)
NPI Enumeration Date08/13/2014

Related Entities

Other providers sharing the same authorized official: ZWICKY, TERESA

ProviderCityStateTotal Paid
ROBERTS, WALLACE & ASSOCIATES PLLC GREENSBORO NC $42.13M
HAPPY SMILES LLC HORN LAKE MS $17.37M
YUMA DENTISTRY 4 KIDS PLLC YUMA AZ $16.57M
HAPPY SMILES DENTISTRY - TUPELO LLC TUPELO MS $16.23M
HAPPY SMILES DENTISTRY-MERIDIAN LLC MERIDIAN MS $12.94M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC PASCAGOULA MS $11.58M
ROBERTS & ASSOCIATES - GREENSBORO PLLC GREENSBORO NC $10.81M
FLAGSTAFF DENTISTRY 4 KIDS, PLLC FLAGSTAFF AZ $10.35M
ROBERTS & ASSOCIATES PLLC WILMINGTON NC $9.67M
E. P. DENTISTRY 4 KIDS, PLLC EL PASO TX $8.09M
GENERAL DENTISTRY 4 KIDS-VALENCIA PLLC TUCSON AZ $7.76M
ROBERTS KAMP & ASSOCIATES PLLC GREENVILLE NC $6.39M
MIDLAND DENTISTRY 4 KIDS, PLLC MIDLAND TX $6.37M
E. P. DENTISTRY 4 KIDS 1, PLLC EL PASO TX $6.07M
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC TUCSON AZ $5.17M
BRADLEY ROBERTS & ASSOCIATES PLLC THOMASVILLE NC $5.16M
EP DENTISTRY 4 KIDS - MESA PLLC EL PASO TX $4.85M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC GULFPORT MS $4.80M
GENERAL DENTISTRY FOR KIDS LLC TUCSON AZ $4.25M
ROBERTS & GARZA ORTHODONTICS SERVICES PLLC SOUTHAVEN MS $3.38M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,115 $327K
2019 29,821 $773K
2020 25,210 $652K
2021 52,063 $1.53M
2022 62,275 $1.98M
2023 70,366 $2.37M
2024 87,301 $2.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 51,623 9,271 $1.35M
D2930 Prefabricated stainless steel crown - primary tooth 10,834 2,661 $1.34M
D1120 Prophylaxis - child 48,918 41,845 $1.30M
D1206 Topical application of fluoride varnish 46,930 39,937 $1.03M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10,701 5,647 $1.02M
D0120 Periodic oral evaluation - established patient 26,873 24,347 $677K
D0150 Comprehensive oral evaluation - new or established patient 17,443 13,822 $583K
D0272 Bitewings - two radiographic images 22,684 19,128 $331K
D0330 Panoramic radiographic image 10,443 8,579 $314K
D7140 Extraction, erupted tooth or exposed root 4,045 2,101 $305K
D0274 Bitewings - four radiographic images 12,282 10,481 $247K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 8,256 6,639 $222K
D0220 Intraoral - periapical first radiographic image 17,635 15,934 $205K
D0350 6,779 6,523 $181K
D0210 Intraoral - complete series of radiographic images 3,929 2,648 $178K
D0230 Intraoral - periapical each additional radiographic image 18,804 12,910 $175K
D9248 3,551 3,191 $165K
D0145 Oral evaluation for a patient under three years of age 3,339 2,925 $115K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 907 548 $103K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,650 883 $101K
D0140 Limited oral evaluation - problem focused 2,003 1,697 $73K
D2934 409 84 $67K
D1208 Topical application of fluoride, excluding varnish 2,139 1,977 $34K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 346 163 $29K
D9420 110 97 $29K
D2929 88 16 $22K
D1110 Prophylaxis - adult 420 408 $17K
D0270 12 12 $147.30
D0603 25,980 24,612 $0.00
D0601 18 18 $0.00