Medicaid Provider Spending

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

STANTON FAMILY DENTAL CARE PLLC

NPI: 1144821695 · STANTON, MI 48888 · Dental Clinic/Center · NPI assigned 11/02/2020

$3K
Total Medicaid Paid
96
Total Claims
96
Beneficiaries
3
Codes Billed
2022-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialOSTROWSKI, JOHN (OWNER)
NPI Enumeration Date11/02/2020

Related Entities

Other providers sharing the same authorized official: OSTROWSKI, JOHN

ProviderCityStateTotal Paid
JACK OSTROWSKI DDS PLLC LOWELL MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $829.00
2023 29 $964.00
2024 37 $932.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 58 58 $1K
D1120 Prophylaxis - child 26 26 $1K
D0120 Periodic oral evaluation - established patient 12 12 $332.75