Medicaid Provider Spending

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

NPI: 1104993484 · MASON, MI 48854 · Dentist · NPI assigned 11/29/2006

$3K
Total Medicaid Paid
115
Total Claims
115
Beneficiaries
3
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAUER MONDRAGON, TAMARA (PRESIDENT OWNER)
NPI Enumeration Date11/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $505.00
2023 13 $270.00
2024 76 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 53 53 $1K
D0120 Periodic oral evaluation - established patient 50 50 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $200.75