Medicaid Provider Spending

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

NPI: 1134737554 · FENTON, MI 48430 · Dental Clinic/Center · NPI assigned 07/22/2020

$1K
Total Medicaid Paid
38
Total Claims
38
Beneficiaries
3
Codes Billed
2021-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDRUMMOND, MEGAN (MANAGEMENT)
NPI Enumeration Date07/22/2020

Related Entities

Other providers sharing the same authorized official: DRUMMOND, MEGAN

ProviderCityStateTotal Paid
TIFFANY DANYAL CLARKSTON PLLC CLARKSTON MI $5K
TIFFANY DANYAL METAMORA PLLC METAMORA MI $3K
BRUSH RINSE FLOSS MILFORD PLLC MILFORD MI $3K
TK INVESTMENT HARPER WOODS HARPER WOODS MI $1K
WATERFORD FAMILY DENTAL PLLC WATERFORD MI $792.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $480.00
2023 26 $700.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $480.00
D0120 Periodic oral evaluation - established patient 14 14 $391.30
D1206 Topical application of fluoride varnish 12 12 $309.23