Medicaid Provider Spending

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

SOUTH FLINT DENTAL CENTER, PC

NPI: 1033206255 · BURTON, MI 48529 · General Practice Dentistry · NPI assigned 10/08/2006

$3K
Total Medicaid Paid
94
Total Claims
94
Beneficiaries
3
Codes Billed
2020-09
First Month
2020-10
Last Month

Provider Details

Authorized OfficialFLOYD, TRINA (OWNER)
NPI Enumeration Date10/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 94 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 42 42 $1K
D1120 Prophylaxis - child 23 23 $920.00
D1206 Topical application of fluoride varnish 29 29 $725.00