Medicaid Provider Spending

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

JOHN C. O'DONALD DDS PC

NPI: 1114367000 · GREENVILLE, MI 48838 · General Practice Dentistry · NPI assigned 06/25/2013

$18K
Total Medicaid Paid
686
Total Claims
686
Beneficiaries
3
Codes Billed
2018-04
First Month
2021-11
Last Month

Provider Details

Authorized OfficialO'DONALD, JOHN (OWNER)
NPI Enumeration Date06/25/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196 $6K
2019 122 $3K
2020 184 $4K
2021 184 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 280 280 $7K
D1120 Prophylaxis - child 161 161 $6K
D1208 Topical application of fluoride, excluding varnish 245 245 $5K