Medicaid Provider Spending

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

RESTORING SMILES

NPI: 1114965621 · MILLINGTON, MI 48746 · Dentist · NPI assigned 06/04/2006

$3K
Total Medicaid Paid
118
Total Claims
118
Beneficiaries
4
Codes Billed
2018-03
First Month
2018-08
Last Month

Provider Details

Authorized OfficialCARNEY, TIMOTHY (DENTIST OWNER)
NPI Enumeration Date06/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 39 39 $1K
D0120 Periodic oral evaluation - established patient 51 51 $1K
D1208 Topical application of fluoride, excluding varnish 15 15 $360.00
D1206 Topical application of fluoride varnish 13 13 $250.00