Medicaid Provider Spending

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

WESTNEDGE FAMILY DENTISTRY

NPI: 1013074095 · KALAMAZOO, MI 49008 · General Practice Dentistry · NPI assigned 01/02/2007

$72K
Total Medicaid Paid
2,463
Total Claims
2,388
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSACKETT, DAVID (DENTIST)
NPI Enumeration Date01/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 856 $24K
2019 1,454 $44K
2020 128 $4K
2023 25 $660.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,042 1,004 $25K
D1110 Prophylaxis - adult 492 467 $21K
D1120 Prophylaxis - child 298 298 $12K
D1208 Topical application of fluoride, excluding varnish 261 261 $6K
D0272 Bitewings - two radiographic images 91 91 $2K
D0274 Bitewings - four radiographic images 67 67 $2K
D0220 Intraoral - periapical first radiographic image 139 128 $2K
D1206 Topical application of fluoride varnish 58 57 $1K
D0140 Limited oral evaluation - problem focused 15 15 $592.00