Medicaid Provider Spending

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

BRIAN E. ANDERSON, D.D.S., PLLC

NPI: 1063796456 · ISHPEMING, MI 49849 · Dental Clinic/Center · NPI assigned 10/04/2011

$17K
Total Medicaid Paid
517
Total Claims
494
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialANDERSON, BRIAN (SOLE MEMBER)
NPI Enumeration Date10/04/2011

Related Entities

Other providers sharing the same authorized official: ANDERSON, BRIAN

ProviderCityStateTotal Paid
CITADEL DENTAL PARTNERS PROF LLP COLORADO SPRINGS CO $5.30M
LUCID PSYCHIATRIC PRACTICE LLC TOWSON MD $3.12M
CENTRAL NEW YORK SURGICAL PHYSICIANS PC SYRACUSE NY $59K
BL ANDERSON MEDICAL CORPORATION SAN DIEGO CA $52K
ANGELO BACK & REHAB, PA SAN ANGELO TX $33K
ANDERSON CHIROPRACTIC OF OSHKOSH, S. C. OSHKOSH WI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 267 $10K
2020 250 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 126 126 $5K
D0120 Periodic oral evaluation - established patient 144 144 $4K
D1206 Topical application of fluoride varnish 148 148 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 24 12 $2K
D1110 Prophylaxis - adult 24 24 $1K
D0274 Bitewings - four radiographic images 28 28 $879.62
D1351 Sealant - per tooth 23 12 $493.00