Medicaid Provider Spending

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

KZOO FAMILY DENTAL P.C.

NPI: 1033780184 · KALAMAZOO, MI 49048 · Dental Clinic/Center · NPI assigned 07/08/2021

$27K
Total Medicaid Paid
1,100
Total Claims
1,092
Beneficiaries
7
Codes Billed
2021-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEISE, RENEE (INSURANCE SPECIALIST)
NPI Enumeration Date07/08/2021

Related Entities

Other providers sharing the same authorized official: HEISE, RENEE

ProviderCityStateTotal Paid
MODERN FAMILY DENTAL PC GRAND HAVEN MI $410.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 38 $1K
2022 13 $200.00
2023 395 $10K
2024 654 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 390 390 $9K
D1120 Prophylaxis - child 222 222 $8K
D0120 Periodic oral evaluation - established patient 140 140 $4K
D0150 Comprehensive oral evaluation - new or established patient 73 73 $3K
D0220 Intraoral - periapical first radiographic image 130 130 $2K
D0230 Intraoral - periapical each additional radiographic image 130 122 $1K
D0272 Bitewings - two radiographic images 15 15 $291.50