Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › DENHAM SPRINGS › EXCEPTIONAL DENTAL OF WATSON, LLC

EXCEPTIONAL DENTAL OF WATSON, LLC

NPI: 1982180279 · DENHAM SPRINGS, LA 70706 · Dentist · NPI assigned 07/19/2018

$81K
Total Medicaid Paid
2,269
Total Claims
2,097
Beneficiaries
9
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
NPI Enumeration Date07/19/2018

Related Entities

Other providers sharing the same authorized official: COATS, SAMANTHA

ProviderCityStateTotal Paid
AFFORDABLE SMILES OF HAMMOND, LLC HAMMOND LA $213K
AFFORDABLE SMILES OF GRETNA, LLC GRETNA LA $208K
AFFORDABLE SMILES OF BATON ROUGE, LLC BATON ROUGE LA $191K
AFFORDABLE SMILES OF METAIRIE, LLC METAIRIE LA $131K
EXCEPTIONAL DENTAL OF UPTOWN, LLC NEW ORLEANS LA $18K
AFFORDABLE SMILES OF MANDEVILLE, LLC MANDEVILLE LA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 40 $902.85
2020 167 $6K
2021 59 $2K
2022 448 $13K
2023 1,028 $37K
2024 527 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 526 507 $26K
D0150 Comprehensive oral evaluation - new or established patient 479 387 $18K
D0120 Periodic oral evaluation - established patient 486 464 $14K
D0210 Intraoral - complete series of radiographic images 182 170 $10K
D1208 Topical application of fluoride, excluding varnish 390 372 $8K
D1120 Prophylaxis - child 100 94 $3K
D0330 Panoramic radiographic image 27 27 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 29 26 $1K
D0272 Bitewings - two radiographic images 50 50 $1K