Medicaid Provider Spending

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

NORTHERN QUALITY DENTAL

NPI: 1144457672 · CADILLAC, MI 49601 · General Practice Dentistry · NPI assigned 06/11/2009

$30K
Total Medicaid Paid
1,225
Total Claims
1,225
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSEYMOUR, BENJAMIN (DENTIST)
NPI Enumeration Date06/11/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 260 $7K
2019 334 $9K
2020 195 $5K
2021 102 $3K
2022 134 $3K
2023 151 $4K
2024 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 482 482 $11K
D1120 Prophylaxis - child 299 299 $10K
D1208 Topical application of fluoride, excluding varnish 417 417 $8K
D0272 Bitewings - two radiographic images 27 27 $525.00