Medicaid Provider Spending

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

SAULT DENTAL ASSOCIATION

NPI: 1114101318 · SAULT SAINTE MARIE, MI 49783 · 1223G0001X

$10K
Total Medicaid Paid
366
Total Claims
359
Beneficiaries
3
Codes Billed
2018-04
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $5K
2019 170 $4K
2020 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 314 307 $8K
D1110 40 40 $2K
D1120 12 12 $480.00