Medicaid Provider Spending

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

FARWELL DENTAL, PLLC

NPI: 1154198273 · FARWELL, MI 48622 · General Practice Dentistry · NPI assigned 12/08/2023

$30K
Total Medicaid Paid
968
Total Claims
954
Beneficiaries
8
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINEGAR, ELIZABETH (MEMBER)
NPI Enumeration Date12/08/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 968 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 222 221 $8K
D0120 Periodic oral evaluation - established patient 305 305 $8K
D1206 Topical application of fluoride varnish 177 177 $5K
D1208 Topical application of fluoride, excluding varnish 129 129 $3K
D0274 Bitewings - four radiographic images 81 81 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 28 15 $3K
D1110 Prophylaxis - adult 14 14 $635.25
D0220 Intraoral - periapical first radiographic image 12 12 $219.00