BRANTLEY PAUL NICHOLS, DMD

NPI 1265696769, individual, Ruleville, MS, Dentist, Oral and Maxillofacial Surgery

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since July 24, 2018.
Medicaid still paid claims in 17 later months, $298,768 in total.

score 95 of 100, rank 99, $299K at stake

Public list actions

Medicare revocation effective July 24, 2018, barred from re-enrolling until July 25, 2028

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Oral Surgery, MS

OIG exclusion May 19, 2022 under section 1128a3

Ind- Lic HC Serv Pro, Dentist, Gulfport, MS

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Jul 24, 2018	Jul 25, 2028	17	Aug 2018	Jul 2020	$299K	$520K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	BRANTLEY PAUL NICHOLS, DMD
Type	Individual, sole proprietor
Status	Active
NPI issued	July 14, 2008, last updated August 14, 2019
Practice location	840 N OAK AVE, Ruleville, MS 38771-3227, 601-624-8209
Mailing address	PO BOX 10270, Greenwood, MS 38930-0270
Specialties	Dentist, Oral and Maxillofacial Surgery (1223S0112X, license 8276 KY) Dentist, Oral and Maxillofacial Surgery (1223S0112X, primary, license 3560-10 MS)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated	$319K	36%	$365	$213 (top 5% from $539)	85th percentile
D7241	Medicaid service code	$202K	23%	$678		too few months to rank
D7240	Medicaid service code	$153K	17%	$436	$625 (top 5% from $935)	13th percentile
D7230	Medicaid service code	$57K	6%	$326	$341 (top 5% from $565)	43rd percentile
D7250	Medicaid service code	$50K	6%	$337	$293 (top 5% from $645)	65th percentile
D0140	Limited oral evaluation - problem focused	$36K	4%	$36	$29 (top 5% from $60)	69th percentile
D9310	Medicaid service code	$25K	3%	$44	$48 (top 5% from $90)	44th percentile
D7220	Medicaid service code	$23K	3%	$223	$213 (top 5% from $351)	59th percentile

In this area

52 providers in MS carry an indicator in the public record, with $88.4M at stake between them. The most common is more hours than a day holds, on 32 of them, followed by part of a provider network on 11. 6 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	MILESTONE COMMUNITY DEVELOPMENT CENTER Greenville, MS, ranked 31	$415K	Listed on the Medicare revocation list since February 6, 2023. Medicaid still paid claims in 3 later months, $414,794 in total. and 1 more
1	CHRISTA STAPLES Columbia, MS, ranked 222	$28K	Listed on the CA Medicaid exclusion list since November 30, 2022. Medicaid still paid claims in 10 later months, $27,901 in total.
1	BENJAMIN SANFORD Starkville, MS, ranked 320	$5K	Listed on the Medicare revocation list since January 26, 2021. Medicaid still paid claims in 3 later months, $5,278 in total.
1	MARION LUND Oxford, MS, ranked 399	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
1	FOOT DOCTOR, PLLC Oxford, MS, ranked 400	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
1	MEDIHEALTH MEDICAL SOLUTIONS LLC Amory, MS, ranked 512	$0	Adjudicated (sentenced) per a Department of Justice release dated February 15, 2024. No Medicaid payments in the last 12 observed months.
2	JOHN WILKAITIS Jackson, MS, ranked 697	$1.6M	Billed more hands-on hours than a day holds in 2 months, peaking at 24.6 hours per day across 3 billing organizations. Medicaid dollars per patient on code 99232 ($286 per patient-month) sit in the top 5% of every provider billing that code.
3	KARE-IN-HOME HOSPICE, LLC Wiggins, MS, ranked 785	$1.5M	Part of provider network D1-00051, ranked 51 nationally. Medicaid dollars per patient on code Q5001 ($4410 per patient-month) sit in the top 5% of every provider billing that code.

All 52 in MS

Recent enforcement in MS

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedJun 30, 2026

Madison Man Sentenced to 30 Months in Federal Prison for Role in Medicare Kickback Conspiracy

Smith, a marketer for diagnostic laboratories, solicited and received kickbacks from laboratories in exchange for referrals of specimens and orders for molecular diagnostic testing of toenails and paid kickbacks to providers to induce those referrals, resulting in over $1.4 million in claims to Medicare.

DOJSentencedJun 29, 2026

Two Corinth Pharmacists Sentenced for Conspiracy to Commit Healthcare Fraud

Two pharmacists billed Medicare and Medicaid for the same single prescription drug product numerous times, including diabetic insulin pens, asthma inhalers and psychotropic medications.

DOJSentencedMay 8, 2026

Former NFL Player Sentenced to Over 16 Years in Prison for $197M Medicare Fraud

French worked with overseas call centers to obtain patient information, paid kickbacks to sham telemedicine companies for signed doctors' orders for orthotic braces, sold the orders to marketers and supply companies, and billed Medicare and CHAMPVA through eight DME companies he owned using straw owners.

DOJPleaded guiltyNov 20, 2025

Mississippi Businessman Pleads Guilty to $19M Health Care Fraud Conspiracy

Gibbs paid kickbacks for fraudulent doctors' orders and used them to bill Medicare over $19 million for medically unnecessary orthotic braces through seven durable medical equipment supply companies he owned or controlled, sometimes through straw owners.

DOJCivil settlementAug 22, 2025

MISSISSIPPI MEDICAID RECIPIENTS AGREE TO PAY OVER $170,000 TO RESOLVE FALSE CLAIMS ACT ALLEGATIONS OF HEALTH CARE BENEFITS FRAUD

Former Medicaid recipients allegedly falsified their income on Mississippi Medicaid applications and renewals to create eligibility for health care benefits for their dependents.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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