Medicaid Provider Spending

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

CARPENTER-THOMPSON, MITCH

NPI: 1134746290 · LAKE CITY, MI 49651 · Dentist · NPI assigned 07/06/2020

$5K
Total Medicaid Paid
166
Total Claims
166
Beneficiaries
5
Codes Billed
2020-08
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 61 $2K
2021 68 $760.00
2022 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 51 51 $1K
D0120 Periodic oral evaluation - established patient 55 55 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $870.00
D1206 Topical application of fluoride varnish 36 36 $550.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $516.00