Medicaid Provider Spending

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

HILLSDALE DENTAL ASSOCIATION

NPI: 1083779268 · HILLSDALE, MI 49242 · Dentist · NPI assigned 12/27/2006

$46K
Total Medicaid Paid
1,626
Total Claims
1,626
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMESON, KEITH (PRESIDENT)
NPI Enumeration Date12/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 436 $14K
2019 301 $9K
2020 250 $7K
2021 123 $3K
2022 175 $4K
2023 192 $5K
2024 149 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 968 968 $24K
D1120 Prophylaxis - child 375 375 $14K
D1206 Topical application of fluoride varnish 202 202 $5K
D1110 Prophylaxis - adult 38 38 $2K
D0272 Bitewings - two radiographic images 43 43 $1K