Medicaid Provider Spending

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

HALLEY'S FAMILY DENTAL CARE, PLLC

NPI: 1982822268 · STILLWATER, OK 74074 · General Practice Dentistry · NPI assigned 04/23/2007

$39K
Total Medicaid Paid
1,909
Total Claims
1,909
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialHALLEY, JESSICA (CO-OWNER)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 588 $12K
2019 357 $7K
2020 149 $3K
2021 306 $6K
2022 252 $5K
2023 257 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 747 747 $15K
D1208 Topical application of fluoride, excluding varnish 707 707 $10K
D1120 Prophylaxis - child 303 303 $9K
D1206 Topical application of fluoride varnish 114 114 $2K
D1110 Prophylaxis - adult 38 38 $2K