Medicaid Provider Spending

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

FAMILY DENTISTS, PLLC

NPI: 1023327111 · PORT HURON, MI 48060 · Dental Clinic/Center · NPI assigned 10/06/2010

$195K
Total Medicaid Paid
5,636
Total Claims
5,531
Beneficiaries
10
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARROTT, JEREMY (MEMBER)
NPI Enumeration Date10/06/2010

Related Entities

Other providers sharing the same authorized official: PARROTT, JEREMY

ProviderCityStateTotal Paid
YALE MAIN STREET DENTISTRY, PLLC YALE MI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 606 $19K
2021 1,172 $36K
2022 1,360 $46K
2023 1,668 $67K
2024 830 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,053 1,050 $41K
D0120 Periodic oral evaluation - established patient 1,458 1,458 $39K
D1206 Topical application of fluoride varnish 1,321 1,319 $32K
D1110 Prophylaxis - adult 548 548 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 228 139 $27K
D0274 Bitewings - four radiographic images 539 539 $17K
D0220 Intraoral - periapical first radiographic image 315 312 $5K
D0150 Comprehensive oral evaluation - new or established patient 84 84 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 17 13 $3K
D0230 Intraoral - periapical each additional radiographic image 73 69 $689.42