Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › CANTON › PORTABLE SMILES CONSULTING LLC

PORTABLE SMILES CONSULTING LLC

NPI: 1023404068 · CANTON, MI 48188 · Public Health Dentist · NPI assigned 04/07/2015

$25K
Total Medicaid Paid
1,059
Total Claims
954
Beneficiaries
3
Codes Billed
2020-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialCHEEKS, STERLING (OWNER)
NPI Enumeration Date04/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 49 $1K
2021 1,010 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 459 459 $15K
D0191 460 460 $7K
D1351 Sealant - per tooth 140 35 $3K